| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $575.44 | $616.60 | $724.44 | |
Kaiser Permanente
| Professional | $89.13 | $398.11 | $831.76 | |
Lucent Health
| Facility | $104.71 | $2,089.30 | $2,089.30 | |
Lucent Health
| Professional | $87.10 | $87.10 | $524.81 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 |