| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $30.90 | $67.61 | $398.11 | |
Lucent Health
| Facility | $100.00 | $229.09 | $229.09 | |
United
| Facility | $218.78 | $218.78 | $218.78 | |
United
| Professional | $21.38 | $36.31 | $38.90 |