| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $217.17 | $217.17 | $271.70 | |
Cigna
| Professional | $183.69 | $230.98 | $312.42 | |
Kaiser Permanente
| Professional | $638.07 | $638.07 | $801.00 | |
Lucent Health
| Facility | $90.00 | $294.26 | $294.26 | |
Lucent Health
| Professional | $360.14 | $782.78 | $973.66 |