| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $291.24 | $344.23 | $407.44 | |
Lucent Health
| Professional | $796.67 | $796.67 | $796.67 |
Rec Ftl Car Sgl 3 Ch Pt Rec & Strg Data Scn I&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $291.24 | $344.23 | $407.44 | |
Lucent Health
| Professional | $796.67 | $796.67 | $796.67 |