| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $307.17 | $368.02 | $616.03 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $227.81 | $970.20 | $970.20 | |
Lucent Health
| Professional | $1,842.00 | $1,842.00 | $1,842.00 | |
Providence
| Facility | $197.94 | $289.62 | $396.76 | |
Providence
| Professional | $273.94 | $273.94 | $273.94 |