| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,457.28 | $6,538.44 | $7,872.46 | |
Kaiser Permanente
| Professional | $525.00 | $2,773.54 | $6,468.99 | |
Medcost
| Professional | $2,011.00 | $2,311.00 | $3,245.00 | |
United
| Facility | $2,656.00 | $2,656.00 | $2,656.00 |