| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.00 | $11.25 | $15.94 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $393.93 | |
Lucent Health
| Facility | $80.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $29.24 | $47.64 | $54.78 |