| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $4.37 | $4.37 | $5.24 | |
Kaiser Permanente
| Professional | $14.85 | $14.85 | $14.85 | |
Medcost
| Facility | $9.43 | $20.64 | $252.00 | |
Medcost
| Professional | $6.00 | $7.21 | $188.00 |