| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $43.43 | $43.43 | $54.54 | |
Cigna
| Professional | $32.95 | $41.43 | $62.39 | |
Kaiser Permanente
| Professional | $393.93 | $638.07 | $801.00 | |
Lucent Health
| Facility | $90.00 | $90.00 | $90.00 | |
Lucent Health
| Professional | $65.33 | $156.80 | $197.75 |