| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6,270.61 | $15,070.42 | $18,056.07 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $55.00 | $15,087.66 | $17,814.83 | |
Lucent Health
| Professional | $22,267.56 | $22,267.56 | $22,267.56 |