| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
Lucent Health
| Facility | $524.81 | $524.81 | $524.81 | |
Sutter Health Plus
| Professional | $338.84 | $338.84 | $338.84 | |
United
| Facility | $77.62 | $77.62 | $77.62 | |
United
| Professional | $91.20 | $107.15 | $151.36 |