| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $323.59 | $407.38 | $2,454.71 | |
Kaiser Permanente
| Professional | $331.13 | $912.01 | $2,089.30 | |
Medcost
| Professional | $512.86 | $977.24 | $1,202.26 | |
Medcost
| Facility | $134.90 | $537.03 | $1,148.15 |