| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.81 | $29.81 | $35.72 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $70.00 | $85.00 | $90.00 | |
Lucent Health
| Professional | $129.85 | $129.85 | $129.85 |