| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $798.75 | $846.68 | $998.44 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $1,463.02 | $2,486.42 | $2,486.42 |