| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $464.36 | $636.32 | $987.16 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $391.25 | $714.49 | $714.49 | |
Lucent Health
| Professional | $1,604.25 | $1,604.25 | $1,604.25 | |
Providence
| Facility | $404.04 | $472.87 | $654.21 | |
Providence
| Professional | $481.23 | $481.23 | $481.23 |