| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $218.37 | $218.37 | $274.58 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $11,260.00 | |
Lucent Health
| Facility | $78.87 | $627.45 | $627.45 | |
Lucent Health
| Professional | $522.83 | $522.83 | $522.83 |