| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $120.23 | $120.23 | $147.91 | |
Cigna
| Professional | $83.18 | $104.71 | $165.96 | |
Kaiser Permanente
| Professional | $630.96 | $630.96 | $831.76 | |
Lucent Health
| Facility | $162.18 | $162.18 | $162.18 | |
Lucent Health
| Professional | $416.87 | $416.87 | $524.81 |