| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $671.95 | $712.27 | $853.38 | |
Kaiser Permanente
| Professional | $881.00 | $881.00 | $1,243.00 | |
Medcost
| Facility | $701.88 | $740.21 | $1,473.99 | |
Medcost
| Professional | $585.00 | $987.00 | $1,381.20 | |
United
| Facility | $204.72 | $292.45 | $380.19 |