| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $48.98 | $48.98 | $58.88 | |
Kaiser Permanente
| Professional | $125.89 | $125.89 | $125.89 | |
Medcost
| Professional | $37.15 | $45.71 | $45.71 | |
Medcost
| Facility | $33.11 | $47.86 | $74.13 |