| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $501.19 | $501.19 | $630.96 | |
Kaiser Permanente
| Professional | $346.74 | $588.84 | $977.24 | |
United
| Facility | $208.93 | $331.13 | $707.95 | |
United
| Professional | $186.21 | $251.19 | $407.38 |