| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $575.44 | $602.56 | $5,495.41 | |
Cigna
| Facility | 62 | $3,467.37 | $3,467.37 | $3,467.37 |
Kaiser Permanente
| Professional | $2,630.27 | $3,388.44 | $4,786.30 | |
United
| Facility | $302.00 | $416.87 | $1,230.27 |