| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,921.46 | $2,302.13 | $2,771.82 | |
Kaiser Permanente
| Professional | $525.00 | $1,043.96 | $2,176.46 | |
Medcost
| Facility | $591.77 | $799.64 | $1,188.44 | |
Medcost
| Professional | $724.00 | $858.00 | $1,023.00 |