| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.30 | $114.36 | $205.04 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $55.00 | $123.89 | $139.19 | |
Lucent Health
| Professional | $225.37 | $373.91 | $373.91 |