| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.82 | $108.81 | $131.01 | |
Kaiser Permanente
| Professional | $257.77 | $638.07 | $801.00 | |
Lucent Health
| Facility | $70.00 | $90.00 | $100.00 | |
Lucent Health
| Professional | $152.16 | $152.16 | $152.16 | |
Sutter Health Plus
| Professional | $90.90 | $90.90 | $90.90 |