| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $300.89 | $300.89 | $378.34 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $11,260.00 | |
Lucent Health
| Facility | $197.01 | $627.45 | $627.45 | |
Lucent Health
| Professional | $720.48 | $720.48 | $720.48 | |
Providence
| Facility | $88.20 | $130.69 | $288.61 | |
Providence
| Professional | $302.52 | $302.52 | $302.52 |