| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $575.44 | $575.44 | $724.44 | |
Kaiser Permanente
| Professional | $977.24 | $2,570.40 | $30,199.52 | |
Lucent Health
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Lucent Health
| Professional | $2,344.23 | $2,951.21 | $2,951.21 | |
United
| Professional | $316.23 | $457.09 | $912.01 |