| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $305.08 | $365.53 | $440.24 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $1,619.00 | |
Lucent Health
| Facility | $205.62 | $346.11 | $346.11 | |
Lucent Health
| Professional | $683.00 | $683.00 | $683.00 | |
Sutter Health Plus
| Professional | $240.99 | $240.99 | $240.99 |