| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $575.25 | $609.77 | $730.57 | |
Kaiser Permanente
| Professional | $350.00 | $350.00 | $638.07 | |
Lucent Health
| Facility | $85.00 | $2,074.00 | $2,074.00 | |
Lucent Health
| Professional | $80.33 | $522.27 | $522.27 | |
Molina
| Professional | $30.00 | $60.00 | $85.00 |