| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,934.96 | $6,751.81 | $8,549.90 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,767.61 | $2,659.53 | $2,720.74 | |
Lucent Health
| Professional | $5,943.92 | $6,016.53 | $6,016.53 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |