| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $41.69 | $41.69 | $50.12 | |
Kaiser Permanente
| Professional | $104.71 | $104.71 | $104.71 | |
Medcost
| Professional | $38.90 | $48.98 | $48.98 | |
Medcost
| Facility | $31.62 | $43.65 | $66.07 |