| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $82.95 | $82.95 | $104.30 | |
Kaiser Permanente
| Professional | $350.00 | $350.00 | $393.93 | |
Lucent Health
| Professional | $281.20 | $281.20 | $281.20 |
Ifxj Loclz&Trakg Trgt/Pt Mtn Dur Radtx Ea Fxj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $82.95 | $82.95 | $104.30 | |
Kaiser Permanente
| Professional | $350.00 | $350.00 | $393.93 | |
Lucent Health
| Professional | $281.20 | $281.20 | $281.20 |