| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $213.80 | $323.59 | |
Kaiser Permanente
| Professional | $398.11 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $616.60 | $616.60 | $616.60 | |
Lucent Health
| Professional | $776.25 | $776.25 | $870.96 | |
Sutter Health Plus
| Professional | $323.59 | $323.59 | $323.59 | |
United
| Professional | $87.10 | $131.83 | $281.84 |