| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,335.00 | $1,772.93 | $2,985.38 | |
Cigna
| Facility | AS | $71.20 | $71.20 | $71.20 |
Kaiser Permanente
| Professional | $627.61 | $795.56 | $1,114.58 | |
United
| Facility | $857.00 | $1,379.00 | $3,219.00 |