| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $492.22 | $492.22 | $589.74 | |
Kaiser Permanente
| Professional | $1,243.05 | $1,243.05 | $1,243.05 | |
Medcost
| Facility | $354.98 | $435.66 | $522.87 | |
Medcost
| Professional | $132.00 | $343.00 | $622.00 |