| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $628.72 | $628.72 | $790.57 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $11,260.00 | |
Lucent Health
| Facility | $533.94 | $1,683.81 | $1,683.81 | |
Lucent Health
| Professional | $5,247.00 | $5,247.00 | $5,247.00 | |
Providence
| Facility | $670.47 | $852.05 | $1,170.51 | |
Providence
| Professional | $793.14 | $793.14 | $793.14 |