| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $380.19 | $575.44 | |
Kaiser Permanente
| Professional | $398.11 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $758.58 | $758.58 | $758.58 | |
Lucent Health
| Professional | $1,047.13 | $1,047.13 | $1,174.90 | |
Sutter Health Plus
| Professional | $588.84 | $588.84 | $588.84 | |
United
| Professional | $147.91 | $177.83 | $389.05 |