| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $180.77 | $468.27 | $592.98 | |
Kaiser Permanente
| Professional | $314.64 | $314.64 | $801.00 | |
Lucent Health
| Facility | $75.11 | $439.00 | $439.00 | |
Lucent Health
| Professional | $571.00 | $648.03 | $648.03 |