| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $277.68 | $277.68 | $332.69 | |
Kaiser Permanente
| Professional | $51.00 | $230.43 | $230.43 |
Mod Sed Diff Phys/Qhp<5 Yrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $277.68 | $277.68 | $332.69 | |
Kaiser Permanente
| Professional | $51.00 | $230.43 | $230.43 |