| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $380.19 | $575.44 | |
Kaiser Permanente
| Professional | $69.18 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $851.14 | $851.14 | $851.14 |