| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $79.43 | $93.33 | |
Kaiser Permanente
| Professional | $234.42 | $234.42 | $234.42 | |
Medcost
| Professional | $67.61 | $85.11 | $85.11 | |
Medcost
| Facility | $35.48 | $77.62 | $117.49 |