| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $26.30 | $26.30 | $32.36 | |
Cigna
| Professional | $45.71 | $102.33 | $123.03 | |
Kaiser Permanente
| Professional | $173.78 | $630.96 | $831.76 | |
Lucent Health
| Facility | $173.78 | $173.78 | $173.78 | |
Lucent Health
| Professional | $245.47 | $245.47 | $245.47 |