| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $264.33 | $264.33 | $316.70 | |
Kaiser Permanente
| Professional | $211.00 | $211.00 | $324.20 | |
Medcost
| Facility | $133.00 | $179.65 | $485.88 | |
Medcost
| Professional | $82.46 | $241.00 | $413.00 |