| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $103.03 | $103.03 | $129.29 | |
Cigna
| Professional | $279.93 | $417.52 | $503.96 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $228.74 | $228.74 | $658.49 | |
Lucent Health
| Professional | $602.00 | $693.25 | $693.25 | |
Molina
| Professional | $60.00 | $60.00 | $85.00 |