| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $794.33 | $851.14 | $1,023.29 | |
Kaiser Permanente
| Professional | $141.25 | $630.96 | $831.76 | |
Lucent Health
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Lucent Health
| Professional | $1,479.11 | $1,479.11 | $2,511.89 |