| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $85.11 | $85.11 | $104.71 | |
Cigna
| Professional | $93.33 | $199.53 | $398.11 | |
Kaiser Permanente
| Professional | $630.96 | $630.96 | $831.76 | |
Lucent Health
| Facility | $676.08 | $676.08 | $676.08 | |
Lucent Health
| Professional | $416.87 | $416.87 | $416.87 |