| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $707.95 | $707.95 | $3,019.95 | |
Cigna
| Facility | AS | $70.79 | $70.79 | $70.79 |
Kaiser Permanente
| Professional | $331.13 | $446.68 | $616.60 | |
United
| Facility | $398.11 | $1,230.27 | $1,548.82 |