| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $188.80 | $226.20 | $272.36 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $109.44 | $185.61 | $253.72 | |
Lucent Health
| Professional | $483.00 | $483.00 | $483.00 | |
Sutter Health Plus
| Professional | $187.46 | $187.46 | $187.46 |