| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $1,122.02 | $1,698.24 | |
Kaiser Permanente
| Professional | $398.11 | $478.63 | $1,000.00 | |
Lucent Health
| Facility | $2,754.23 | $2,754.23 | $2,754.23 | |
Lucent Health
| Professional | $3,801.89 | $3,801.89 | $3,801.89 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 |