| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $864.00 | $915.84 | $1,097.28 | |
Kaiser Permanente
| Professional | $114.00 | $163.00 | $638.07 | |
Lucent Health
| Facility | $960.00 | $1,376.68 | $2,400.00 | |
Lucent Health
| Professional | $2,164.94 | $3,160.00 | $3,160.00 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |