| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $197.04 | $197.04 | $247.76 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $11,260.00 | |
Lucent Health
| Facility | $167.54 | $385.08 | $385.08 | |
Lucent Health
| Professional | $471.07 | $471.07 | $471.07 |