| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $69.06 | $69.06 | $82.74 | |
Kaiser Permanente
| Professional | $46.00 | $57.00 | $57.00 | |
Medcost
| Facility | $18.82 | $25.00 | $44.17 | |
Medcost
| Professional | $21.00 | $24.77 | $33.00 | |
United
| Professional | $14.14 | $22.22 | $33.76 |