| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.99 | $141.32 | $344.72 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $55.00 | $1,300.00 | |
Lucent Health
| Professional | $281.93 | $615.83 | $615.83 |