| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $319.41 | $319.41 | $401.64 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $433.26 | $770.25 | $770.25 | |
Lucent Health
| Professional | $1,141.00 | $1,141.00 | $1,141.00 | |
Providence
| Facility | $235.20 | $274.44 | $384.26 | |
Providence
| Professional | $297.35 | $297.35 | $297.35 |