| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $56.84 | $56.84 | $68.09 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $91.84 | $108.28 | $128.54 | |
Lucent Health
| Professional | $251.34 | $251.34 | $251.34 |