| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,182.96 | $1,182.96 | $1,417.32 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $851.36 | $1,331.14 | $1,378.16 | |
Lucent Health
| Professional | $2,588.32 | $2,588.32 | $2,588.32 |