| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,584.89 | $1,905.46 | $2,290.87 | |
Kaiser Permanente
| Professional | $446.68 | $851.14 | $1,778.28 | |
Medcost
| Professional | $660.69 | $724.44 | $831.76 | |
Medcost
| Facility | $489.78 | $676.08 | $1,000.00 |