| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $504.27 | $534.53 | $640.42 | |
Kaiser Permanente
| Professional | $646.00 | $646.00 | $912.00 | |
Medcost
| Facility | $526.72 | $602.10 | $1,113.89 | |
Medcost
| Professional | $439.00 | $741.00 | $1,036.90 |