| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $110.45 | $110.45 | $159.29 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $6,786.00 | |
Lucent Health
| Facility | $189.90 | $339.00 | $349.00 | |
Lucent Health
| Professional | $627.00 | $627.00 | $627.00 | |
United
| Facility | $486.00 | $486.00 | $486.00 |