| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.51 | $30.90 | $37.15 | |
Kaiser Permanente
| Professional | $128.82 | $630.96 | $831.76 | |
Lucent Health
| Facility | $316.23 | $316.23 | $316.23 | |
Lucent Health
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Professional | $6.31 | $9.55 | $11.22 |