| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $56.48 | $56.48 | $67.68 | |
Kaiser Permanente
| Professional | $142.36 | $142.36 | $142.36 | |
Medcost
| Facility | $39.54 | $55.04 | $80.69 | |
Medcost
| Professional | $17.00 | $35.00 | $60.00 |