| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $550.69 | $550.69 | $692.45 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $730.12 | $1,340.15 | $1,340.15 | |
Lucent Health
| Professional | $1,572.00 | $1,769.44 | $1,769.44 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |