| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,527.13 | $2,678.75 | $3,158.91 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $2,698.21 | $3,874.42 | $3,874.42 | |
Lucent Health
| Professional | $6,884.28 | $6,884.28 | $6,884.28 |