| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $782.06 | $993.21 | $1,662.53 | |
Kaiser Permanente
| Professional | $260.00 | $475.00 | $1,006.00 | |
Lucent Health
| Facility | $65.00 | $2,771.52 | $2,771.52 | |
Lucent Health
| Professional | $3,772.97 | $3,772.97 | $3,772.97 | |
Molina
| Professional | $30.00 | $60.00 | $85.00 |