| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $160.29 | $385.23 | $487.83 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $293.45 | $3,181.37 | |
Lucent Health
| Professional | $603.29 | $1,793.57 | $1,793.57 |