| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,300.72 | $1,300.72 | $1,625.90 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,753.33 | $3,190.88 | $3,190.88 | |
Lucent Health
| Professional | $7,524.00 | $7,524.00 | $7,524.00 | |
Providence
| Facility | $364.80 | $1,342.10 | $1,700.53 | |
Providence
| Professional | $1,259.01 | $1,259.01 | $1,259.01 |