| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $128.82 | $128.82 | $162.18 | |
Cigna
| Professional | $229.09 | $501.19 | $616.60 | |
Kaiser Permanente
| Professional | $194.98 | $630.96 | $831.76 | |
Lucent Health
| Facility | $537.03 | $537.03 | $537.03 | |
Lucent Health
| Professional | $660.69 | $660.69 | $660.69 |