| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $295.12 | $295.12 | $371.54 | |
Kaiser Permanente
| Professional | $363.08 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Lucent Health
| Professional | $1,949.84 | $1,949.84 | $1,949.84 |