| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $62.94 | $62.94 | $75.41 | |
Kaiser Permanente
| Professional | $158.61 | $158.61 | $158.61 | |
Medcost
| Facility | $45.93 | $63.79 | $98.18 | |
Medcost
| Professional | $20.00 | $39.00 | $69.00 |