| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $150.72 | $150.72 | $188.41 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $65.00 | $1,556.69 | $1,821.49 | |
Lucent Health
| Professional | $5,272.00 | $5,272.00 | $5,272.00 | |
Providence
| Facility | $89.76 | $903.87 | $1,185.13 | |
Providence
| Professional | $88.59 | $88.59 | $88.59 |