| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.23 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $140.47 | $181.21 | $299.60 | |
United
| Facility | $123.00 | $123.00 | $158.00 |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.23 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $140.47 | $181.21 | $299.60 | |
United
| Facility | $123.00 | $123.00 | $158.00 |