| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $218.78 | $218.78 | $263.03 | |
Kaiser Permanente
| Professional | $446.68 | $446.68 | $446.68 | |
Medcost
| Professional | $162.18 | $199.53 | $309.03 | |
United
| Facility | $31.62 | $74.13 | $151.36 | |
United
| Professional | $85.11 | $131.83 | $245.47 |