| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $74.13 | $83.18 | $100.00 | |
Kaiser Permanente
| Professional | $18.62 | $18.62 | $18.62 |
Hlth&Behavior Ivntj Ea 15 Min Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $74.13 | $83.18 | $100.00 | |
Kaiser Permanente
| Professional | $18.62 | $18.62 | $18.62 |