| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $271.14 | $271.14 | $340.93 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $11,260.00 | |
Lucent Health
| Facility | $197.01 | $627.45 | $627.45 | |
Lucent Health
| Professional | $648.24 | $648.24 | $648.24 | |
Providence
| Facility | $88.20 | $130.69 | $261.77 | |
Providence
| Professional | $271.94 | $271.94 | $271.94 |