| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.43 | $38.43 | $38.43 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $38.88 | $197.90 | $197.90 | |
Lucent Health
| Professional | $56.51 | $56.51 | $56.51 |