| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,398.83 | $2,884.03 | $3,467.37 | |
Kaiser Permanente
| Professional | $630.96 | $630.96 | $1,230.27 | |
Medcost
| Professional | $912.01 | $954.99 | $1,148.15 | |
Medcost
| Facility | $724.44 | $1,000.00 | $1,479.11 | |
Medcost
| Professional | $1,412.54 | $1,412.54 | $1,412.54 |