| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $12.37 | $12.37 | $14.82 | |
Kaiser Permanente
| Professional | $34.43 | $34.43 | $34.43 | |
Medcost
| Facility | $9.66 | $13.61 | $27.37 | |
Medcost
| Professional | $4.00 | $12.00 | $20.00 |