| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $439.77 | $601.66 | $761.91 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $311.00 | $311.00 | $337.24 | |
Lucent Health
| Professional | $659.40 | $659.40 | $659.40 |