| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $412.09 | $543.29 | $876.04 | |
Kaiser Permanente
| Professional | $157.37 | $638.07 | $801.00 | |
Lucent Health
| Facility | $659.02 | $1,185.80 | $1,185.80 | |
Lucent Health
| Professional | $2,208.00 | $2,208.00 | $2,208.00 | |
Providence
| Facility | $321.72 | $421.04 | $566.32 | |
Providence
| Professional | $457.25 | $457.25 | $457.25 |