| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.72 | $362.87 | $607.40 | |
Kaiser Permanente
| Professional | $99.65 | $189.00 | $801.00 | |
Lucent Health
| Facility | $363.45 | $627.29 | $627.29 | |
Lucent Health
| Professional | $832.69 | $893.86 | $893.86 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |