| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $126.88 | $126.88 | $158.59 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $298.32 | $1,600.36 | $2,025.75 | |
Lucent Health
| Professional | $2,930.00 | $2,930.00 | $2,930.00 | |
Providence
| Facility | $265.89 | $462.37 | $618.55 | |
Providence
| Professional | $197.71 | $197.71 | $197.71 |