| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $305.00 | $393.93 | $840.00 | |
Lucent Health
| Facility | $423.77 | $1,369.96 | $1,419.92 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $305.00 | $393.93 | $840.00 | |
Lucent Health
| Facility | $423.77 | $1,369.96 | $1,419.92 |