| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $552.38 | $552.38 | $694.57 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $735.53 | $1,340.15 | $1,340.15 | |
Lucent Health
| Professional | $1,479.30 | $1,589.17 | $1,589.17 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |