| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $13.80 | $13.80 | $22.91 | |
Cigna
| Professional | $34.67 | $36.31 | $45.71 | |
Kaiser Permanente
| Professional | $32.36 | $81.28 | $173.78 | |
United
| Facility | $9.33 | $13.49 | $30.20 | |
United
| Professional | $15.49 | $18.62 | $48.98 |