| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $239.88 | $288.40 | $346.74 | |
Kaiser Permanente
| Professional | $70.79 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $162.18 | $162.18 | $162.18 | |
Lucent Health
| Professional | $338.84 | $338.84 | $338.84 | |
Sutter Health Plus
| Professional | $190.55 | $190.55 | $190.55 | |
United
| Professional | $52.48 | $74.13 | $165.96 |