| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $115.15 | $115.15 | $144.44 | |
Cigna
| Professional | $83.33 | $104.78 | $165.74 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $70.00 | $134.18 | $134.18 | |
Lucent Health
| Professional | $164.06 | $414.99 | $527.02 |