| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $993.35 | $993.35 | $1,190.15 | |
Kaiser Permanente
| Professional | $283.26 | $638.07 | $801.00 | |
Lucent Health
| Facility | $1,165.71 | $8,615.98 | $8,615.98 | |
Lucent Health
| Professional | $2,996.65 | $2,996.65 | $2,996.65 |