| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $886.64 | $1,062.30 | $1,279.04 | |
Kaiser Permanente
| Professional | $333.00 | $471.60 | $525.00 | |
Medcost
| Facility | $300.91 | $378.36 | $592.10 | |
Medcost
| Professional | $335.00 | $383.00 | $449.00 |