| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $106.81 | $112.10 | $134.30 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $137.56 | $137.56 | $150.35 | |
Lucent Health
| Professional | $283.70 | $283.70 | $283.70 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |