| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $208.08 | $264.26 | $442.33 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $358.29 | $1,069.90 | $1,069.90 | |
Lucent Health
| Professional | $876.00 | $876.00 | $876.00 | |
Sutter Health Plus
| Professional | $436.44 | $436.44 | $436.44 |