| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $660.69 | $794.33 | $954.99 | |
Kaiser Permanente
| Professional | $331.13 | $331.13 | $346.74 | |
Medcost
| Professional | $275.42 | $295.12 | $338.84 | |
Medcost
| Professional | $426.58 | $426.58 | $426.58 |