| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $518.13 | $543.78 | $651.51 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $658.58 | $2,134.50 | $2,134.50 | |
Lucent Health
| Professional | $1,254.00 | $2,166.00 | $2,166.00 | |
Providence
| Facility | $593.75 | $593.75 | $593.75 | |
Providence
| Professional | $570.00 | $593.75 | $641.25 |