| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.80 | $66.91 | $107.89 | |
Kaiser Permanente
| Professional | $37.06 | $40.77 | $56.84 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $53.80 | $66.91 | $107.89 | |
Kaiser Permanente
| Professional | $37.06 | $40.77 | $56.84 |