| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,795.12 | $4,546.99 | $5,474.70 | |
Kaiser Permanente
| Professional | $525.00 | $525.00 | $1,965.49 | |
Medcost
| Facility | $1,209.59 | $1,571.62 | $2,134.35 | |
Medcost
| Professional | $1,346.00 | $1,669.00 | $1,773.00 |