| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $47.86 | $66.07 | $83.18 | |
Kaiser Permanente
| Professional | $38.02 | $57.54 | $630.96 | |
Lucent Health
| Facility | $302.00 | $302.00 | $302.00 | |
Lucent Health
| Professional | $173.78 | $173.78 | $173.78 | |
Sutter Health Plus
| Professional | $56.23 | $56.23 | $56.23 | |
United
| Professional | $14.13 | $18.62 | $37.15 |