| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,949.84 | $1,949.84 | $2,344.23 | |
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Pacific Source
| Facility | $724.44 | $954.99 | $1,000.00 | |
United
| Professional | $416.87 | $489.78 | $645.65 |