| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,015.49 | $1,285.93 | $2,265.37 | |
Kaiser Permanente
| Professional | $333.00 | $525.00 | $858.67 | |
Medcost
| Facility | $331.88 | $548.66 | $861.33 | |
Medcost
| Professional | $612.00 | $700.00 | $778.00 |