| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $145.13 | $153.83 | $184.31 | |
Kaiser Permanente
| Professional | $119.00 | $638.07 | $801.00 | |
Lucent Health
| Facility | $173.46 | $450.84 | $450.84 | |
Lucent Health
| Professional | $490.93 | $608.92 | $608.92 |