| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $150.22 | $190.78 | $319.33 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $275.82 | $621.92 | $621.92 | |
Lucent Health
| Professional | $781.72 | $875.23 | $875.23 | |
Sutter Health Plus
| Professional | $322.86 | $322.86 | $322.86 |