| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9,260.62 | $9,816.26 | $11,575.78 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $9,858.02 | $11,970.40 | $11,970.40 | |
Lucent Health
| Professional | $21,257.91 | $21,257.91 | $21,257.91 |