| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.55 | $257.04 | $389.05 | |
Kaiser Permanente
| Professional | $75.86 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $537.03 | $537.03 | $537.03 | |
Lucent Health
| Professional | $588.84 | $588.84 | $588.84 |