| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $157.24 | $157.24 | $157.24 | |
Cigna
| Professional | $22.79 | $81.06 | $117.60 | |
Kaiser Permanente
| Professional | $155.00 | $155.00 | $329.00 | |
United
| Professional | $28.70 | $28.70 | $28.70 |