| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,737.80 | $2,344.23 | $2,951.21 | |
Kaiser Permanente
| Professional | $398.11 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Lucent Health
| Professional | $2,951.21 | $2,951.21 | $3,630.78 |