| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $195.38 | $207.10 | $244.22 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $261.68 | $360.15 | $360.15 | |
Lucent Health
| Professional | $417.68 | $489.22 | $489.22 |