| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $338.84 | $407.38 | $489.78 | |
Kaiser Permanente
| Professional | $398.11 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $234.42 | $234.42 | $234.42 | |
Lucent Health
| Professional | $478.63 | $478.63 | $478.63 | |
Sutter Health Plus
| Professional | $269.15 | $269.15 | $269.15 | |
United
| Professional | $75.86 | $112.20 | $251.19 |