| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $582.00 | $3,966.90 | $5,637.17 | |
Cigna
| Facility | 52 | $254.41 | $254.41 | $254.41 |
Kaiser Permanente
| Professional | $275.32 | $351.19 | $593.48 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |