| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $219.24 | $278.43 | $466.07 | |
Kaiser Permanente
| Professional | $75.47 | $119.00 | $801.00 | |
Lucent Health
| Facility | $155.97 | $593.50 | $593.50 | |
Lucent Health
| Professional | $639.41 | $665.33 | $665.33 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |