| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $564.01 | $675.75 | $813.62 | |
Kaiser Permanente
| Professional | $298.38 | $333.00 | $525.00 | |
Medcost
| Facility | $191.27 | $234.74 | $324.06 | |
Medcost
| Professional | $213.00 | $243.00 | $283.00 |