| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,246.67 | $1,705.65 | $2,159.89 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $927.59 | $1,421.97 | $1,421.97 | |
Lucent Health
| Professional | $1,933.67 | $2,243.75 | $2,243.75 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |