| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $36.17 | $36.17 | $43.34 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $53.01 | $90.00 | $90.00 | |
Lucent Health
| Professional | $97.66 | $97.66 | $97.66 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |