| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $81.28 | $81.28 | $81.28 | |
Cigna
| Professional | $34.67 | $34.67 | $42.66 | |
Kaiser Permanente
| Professional | $46.77 | $72.44 | $120.23 | |
United
| Facility | $10.00 | $15.85 | $29.51 | |
United
| Professional | $12.59 | $13.80 | $30.90 |