| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $252.00 | $267.12 | $320.04 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $325.95 | $19,841.28 | $19,841.28 | |
Lucent Health
| Professional | $3,292.32 | $3,762.65 | $3,762.65 | |
Sutter Health Plus
| Professional | $796.99 | $796.99 | $796.99 |