| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.82 | $162.18 | $275.42 | |
Kaiser Permanente
| Professional | $154.88 | $154.88 | $363.08 | |
Medcost
| Professional | $77.62 | $102.33 | $102.33 |
Us Study Follow Up
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.82 | $162.18 | $275.42 | |
Kaiser Permanente
| Professional | $154.88 | $154.88 | $363.08 | |
Medcost
| Professional | $77.62 | $102.33 | $102.33 |