| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.98 | $61.45 | $73.63 | |
Kaiser Permanente
| Professional | $393.93 | $8,395.00 | $24,854.00 | |
Lucent Health
| Facility | $10,098.00 | $17,226.00 | $17,226.00 | |
Lucent Health
| Professional | $26,136.00 | $26,136.00 | $31,471.32 | |
Providence
| Facility | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 | |
Providence
| Professional | $1,800,000.00 | $2,400,000.00 | $2,400,000.00 |