| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $59.17 | $73.59 | $118.68 | |
Kaiser Permanente
| Professional | $44.08 | $48.49 | $63.98 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $59.17 | $73.59 | $118.68 | |
Kaiser Permanente
| Professional | $44.08 | $48.49 | $63.98 |