| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $124.23 | $130.38 | $156.21 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $209.79 | $383.70 | $383.70 | |
Lucent Health
| Professional | $391.71 | $466.06 | $466.06 |