| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.88 | $52.88 | $66.09 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $70.00 | $116.67 | $135.61 | |
Lucent Health
| Professional | $231.53 | $231.53 | $231.53 |