| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $540.03 | $540.03 | $679.04 | |
Kaiser Permanente
| Professional | $92.82 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $714.13 | $3,616.95 | $3,616.95 | |
Lucent Health
| Professional | $1,406.43 | $1,703.26 | $1,703.26 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |