| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $297.54 | $356.49 | $429.22 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $139.26 | $230.50 | $237.78 | |
Lucent Health
| Professional | $541.32 | $541.32 | $541.32 | |
Sutter Health Plus
| Professional | $295.86 | $295.86 | $295.86 |