| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $652.29 | $652.29 | $820.22 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $851.60 | $3,565.85 | $3,565.85 | |
Lucent Health
| Professional | $1,655.89 | $1,655.89 | $1,655.89 | |
Providence
| Facility | $228.00 | $381.84 | $583.51 | |
Providence
| Professional | $565.15 | $565.15 | $565.15 |