| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $436.82 | $543.29 | $876.04 | |
Kaiser Permanente
| Professional | $615.45 | $1,238.29 | $1,238.29 | |
Medcost
| Facility | $142.72 | $417.04 | $533.29 | |
Medcost
| Professional | $89.00 | $119.00 | $431.00 |