| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $290.74 | $385.99 | $489.66 | |
United
| Facility | $36.00 | $36.00 | $41.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $290.74 | $385.99 | $489.66 | |
United
| Facility | $36.00 | $36.00 | $41.00 |