| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $686.07 | $868.78 | $1,544.49 | |
Kaiser Permanente
| Professional | $333.00 | $525.00 | $564.48 | |
Medcost
| Facility | $220.01 | $346.72 | $539.75 | |
Medcost
| Professional | $359.00 | $475.00 | $509.00 |