| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $436.52 | $489.78 | $588.84 | |
Kaiser Permanente
| Professional | $257.04 | $257.04 | $257.04 | |
United
| Facility | $93.33 | $93.33 | $100.00 | |
United
| Professional | $74.13 | $112.20 | $194.98 |