| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $831.76 | $1,122.02 | $1,412.54 | |
Kaiser Permanente
| Professional | $398.11 | $630.96 | $1,698.24 | |
Lucent Health
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
Lucent Health
| Professional | $1,348.96 | $1,348.96 | $1,513.56 |