| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $451.89 | $451.89 | $568.22 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $526.00 | $1,078.65 | $1,078.65 | |
Lucent Health
| Professional | $1,407.74 | $1,663.45 | $1,663.45 | |
Sutter Health Plus
| Professional | $955.17 | $955.17 | $955.17 |