| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,174.90 | $1,174.90 | $1,479.11 | |
Kaiser Permanente
| Professional | $1,000.00 | $1,737.80 | $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 | $467.74 | $891.25 |