| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $6.04 | $6.04 | $6.04 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $6.11 | $90.00 | $90.00 | |
Lucent Health
| Professional | $8.88 | $8.88 | $8.88 |