| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,769.70 | $2,120.30 | $2,552.90 | |
Kaiser Permanente
| Professional | $510.00 | $525.00 | $2,021.59 | |
Medcost
| Facility | $570.86 | $746.04 | $1,077.79 | |
Medcost
| Professional | $674.00 | $773.00 | $928.00 |