| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $858.10 | $858.10 | $1,237.57 | |
Kaiser Permanente
| Professional | $393.93 | $4,800.00 | $4,800.00 | |
Lucent Health
| Facility | $55.00 | $55.00 | $2,242.62 | |
Lucent Health
| Professional | $7,159.00 | $7,159.00 | $7,159.00 | |
Providence
| Facility | $700.86 | $957.96 | $1,483.35 |