| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4,897.79 | $4,897.79 | $5,888.44 | |
Kaiser Permanente
| Professional | $169.82 | $169.82 | $177.83 | |
Pacific Source
| Facility | $1,737.80 | $2,238.72 | $2,570.40 | |
United
| Professional | $977.24 | $1,258.93 | $1,862.09 |