| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $60.60 | $60.60 | $75.75 | |
Cigna
| Professional | $45.07 | $56.67 | $87.15 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $70.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $87.78 | $216.93 | $275.02 |