| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $63.64 | $322.63 | $386.55 | |
Kaiser Permanente
| Professional | $200.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $197.84 | $198.19 | $228.35 | |
Lucent Health
| Professional | $406.32 | $406.32 | $406.32 | |
Sutter Health Plus
| Professional | $321.06 | $321.06 | $321.06 |