| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,745.34 | $2,745.34 | $3,959.39 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $2,013.92 | $6,598.41 | |
Lucent Health
| Professional | $8,426.08 | $8,426.08 | $8,426.08 | |
Providence
| Facility | $2,042.88 | $2,618.62 | $3,682.20 |