| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $496.34 | $496.34 | $620.41 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $255.73 | $4,047.78 | $4,815.68 | |
Lucent Health
| Professional | $5,807.00 | $5,807.00 | $7,146.00 | |
Providence
| Facility | $294.83 | $999.96 | $3,232.78 | |
Providence
| Professional | $291.33 | $291.33 | $291.33 |