| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $49.29 | $49.29 | $59.06 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $143.10 | $185.08 | $329.72 | |
Lucent Health
| Professional | $352.73 | $352.73 | $352.73 |