| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.97 | $190.55 | $229.09 | |
Kaiser Permanente
| Professional | $134.90 | $398.11 | $831.76 | |
Lucent Health
| Facility | $537.03 | $537.03 | $537.03 | |
Lucent Health
| Professional | $602.56 | $602.56 | $741.31 |