| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $513.74 | $615.52 | $1,030.32 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $662.76 | $1,062.18 | $1,062.18 | |
Lucent Health
| Professional | $1,495.03 | $1,611.85 | $1,611.85 | |
Providence
| Facility | $327.57 | $478.99 | $678.37 | |
Providence
| Professional | $464.11 | $464.11 | $464.11 |