| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.58 | $305.01 | $365.44 | |
Kaiser Permanente
| Professional | $90.40 | $144.05 | $144.05 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj Ea Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.58 | $305.01 | $365.44 | |
Kaiser Permanente
| Professional | $90.40 | $144.05 | $144.05 |