| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $381.07 | $521.36 | $660.20 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $287.04 | $378.06 | $378.06 | |
Lucent Health
| Professional | $561.26 | $602.61 | $602.61 | |
Sutter Health Plus
| Professional | $454.49 | $454.49 | $454.49 |