| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.52 | $44.52 | $53.34 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $106.63 | $155.43 | $160.91 | |
Lucent Health
| Professional | $467.87 | $467.87 | $467.87 |