| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.39 | $33.39 | $40.01 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $70.00 | $85.00 | $90.00 | |
Lucent Health
| Professional | $105.35 | $105.35 | $105.35 |