| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,043.26 | $3,043.26 | $3,646.17 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $3,104.82 | $13,712.95 | $13,712.95 | |
Lucent Health
| Professional | $7,866.90 | $7,866.90 | $7,866.90 |