| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.90 | $28.63 | $34.47 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $74.72 | $145.00 | $145.00 | |
Lucent Health
| Professional | $248.00 | $248.00 | $248.00 | |
Sutter Health Plus
| Professional | $23.93 | $23.93 | $23.93 |