| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.33 | $102.33 | $123.03 | |
Kaiser Permanente
| Professional | $204.17 | $204.17 | $204.17 | |
United
| Facility | $223.87 | $354.81 | $501.19 | |
United
| Professional | $223.87 | $389.05 | $707.95 |