| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $211.63 | $211.63 | $266.11 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $380.65 | $778.41 | $778.41 | |
Lucent Health
| Professional | $1,012.00 | $1,012.00 | $1,012.00 | |
Providence
| Facility | $187.85 | $264.89 | $324.99 | |
Providence
| Professional | $200.49 | $200.49 | $200.49 |