| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $537.03 | $645.65 | $776.25 | |
Kaiser Permanente
| Professional | $295.12 | $295.12 | $1,348.96 | |
Medcost
| Professional | $223.87 | $245.47 | $281.84 | |
Medcost
| Facility | $173.78 | $239.88 | $389.05 |