| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $90.54 | $94.70 | $113.46 | |
Kaiser Permanente
| Professional | $102.80 | $102.80 | $102.80 | |
Medcost
| Professional | $91.00 | $100.00 | $153.00 | |
United
| Professional | $47.07 | $69.70 | $125.74 |