| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $7.08 | $7.08 | $8.51 | |
Kaiser Permanente
| Professional | $11.48 | $20.89 | $21.88 | |
Medcost
| Professional | $4.68 | $4.68 | $5.75 | |
Medcost
| Facility | $5.89 | $11.48 | $12.88 | |
Medcost
| Professional | $10.96 | $11.48 | $30.90 | |
United
| Facility | $10.23 | $10.23 | $10.23 | |
United
| Professional | $11.48 | $12.30 | $12.88 |