| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $470.38 | $3,016.21 | $3,016.21 | |
Cigna
| Facility | AS | $46.23 | $46.23 | $46.23 |
Kaiser Permanente
| Professional | $365.31 | $477.52 | $678.44 | |
United
| Facility | $1,236.00 | $1,236.00 | $1,560.00 |