| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $125.86 | $125.86 | $157.33 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $393.69 | $1,600.36 | $2,025.75 | |
Lucent Health
| Professional | $2,984.00 | $2,984.00 | $2,984.00 | |
Providence
| Facility | $266.69 | $462.52 | $618.91 | |
Providence
| Professional | $194.58 | $194.58 | $194.58 |