| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,440.13 | $5,766.53 | $6,800.16 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $4,911.77 | $7,134.16 | $7,134.16 | |
Lucent Health
| Professional | $12,500.82 | $12,500.82 | $12,500.82 |