| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.51 | $30.90 | $37.15 | |
Kaiser Permanente
| Facility | $38.02 | $38.02 | $144.54 | |
Kaiser Permanente
| Professional | $562.34 | $562.34 | $562.34 | |
Molina
| Professional | $70.79 | $70.79 | $70.79 | |
United
| Professional | $9.77 | $9.77 | $9.77 |