| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $582.00 | $629.00 | $3,677.58 | |
Cigna
| Facility | 62 | $2,244.61 | $2,244.61 | $2,244.61 |
Kaiser Permanente
| Professional | $2,944.87 | $3,872.25 | $5,394.65 | |
United
| Facility | $303.00 | $362.00 | $1,109.00 |