| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $426.63 | $426.63 | $536.46 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $585.42 | $987.09 | $987.09 | |
Lucent Health
| Professional | $1,658.00 | $1,658.00 | $1,658.00 | |
Providence
| Facility | $338.47 | $397.65 | $558.11 | |
Providence
| Professional | $399.38 | $399.38 | $399.38 |