| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $123.03 | $208.93 | |
Kaiser Permanente
| Professional | $42.66 | $42.66 | $93.33 |
New Outpt L1 Prob Foc H&E Strtfwd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $123.03 | $208.93 | |
Kaiser Permanente
| Professional | $42.66 | $42.66 | $93.33 |