| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $822.82 | $1,125.76 | $1,425.56 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $630.33 | $1,251.36 | $1,251.36 | |
Lucent Health
| Professional | $1,245.76 | $1,522.86 | $1,522.86 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |