| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $134.90 | $134.90 | $169.82 | |
Cigna
| Professional | $93.33 | $117.49 | $186.21 | |
Kaiser Permanente
| Professional | $630.96 | $630.96 | $831.76 | |
Lucent Health
| Facility | $181.97 | $181.97 | $181.97 | |
Lucent Health
| Professional | $467.74 | $467.74 | $602.56 |