| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $851.14 | $912.01 | $1,096.48 | |
Kaiser Permanente
| Professional | $141.25 | $630.96 | $831.76 | |
Lucent Health
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Lucent Health
| Professional | $1,659.59 | $1,659.59 | $2,818.38 |