| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $158.49 | $199.53 | $316.23 | |
Kaiser Permanente
| Professional | $138.04 | $190.55 | $245.47 | |
United
| Facility | $22.91 | $52.48 | $131.83 | |
United
| Professional | $81.28 | $109.65 | $190.55 |