| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $575.44 | $3,981.07 | $4,570.88 | |
Cigna
| Facility | 52 | $389.05 | $389.05 | $389.05 |
Kaiser Permanente
| Professional | $218.78 | $288.40 | $436.52 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |