| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $575.44 | |
Kaiser Permanente
| Professional | $158.49 | $281.84 | $426.58 | |
United
| Facility | $22.91 | $60.26 | $173.78 | |
United
| Professional | $125.89 | $181.97 | $288.40 |