| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $281.84 | $338.84 | |
Kaiser Permanente
| Professional | $128.82 | $398.11 | $831.76 | |
Lucent Health
| Facility | $1,380.38 | $1,380.38 | $1,380.38 | |
Lucent Health
| Professional | $1,445.44 | $1,445.44 | $1,445.44 | |
United
| Professional | $323.59 | $323.59 | $354.81 |