| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.48 | $342.24 | $572.88 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $326.47 | $766.02 | $766.02 | |
Lucent Health
| Professional | $1,050.23 | $1,170.03 | $1,170.03 | |
Sutter Health Plus
| Professional | $590.57 | $590.57 | $590.57 |