| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,115.12 | $5,630.14 | $7,129.52 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $3,047.87 | $3,655.03 | $3,655.03 | |
Lucent Health
| Professional | $6,318.94 | $7,747.35 | $7,747.35 | |
Molina
| Professional | $85.00 | $85.00 | $85.00 |