| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $575.44 | $602.56 | $2,290.87 | |
Cigna
| Facility | AS | $229.09 | $229.09 | $229.09 |
Kaiser Permanente
| Professional | $1,096.48 | $1,445.44 | $2,041.74 | |
United
| Facility | $302.00 | $416.87 | $1,230.27 |