| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,884.03 | $3,019.95 | $3,630.78 | |
Kaiser Permanente
| Professional | $128.82 | $398.11 | $831.76 | |
Lucent Health
| Facility | $13,803.84 | $13,803.84 | $13,803.84 | |
Lucent Health
| Professional | $7,943.28 | $7,943.28 | $7,943.28 |