| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $263.03 | $263.03 | $316.23 | |
Kaiser Permanente
| Professional | $512.86 | $1,148.15 | $1,148.15 | |
United
| Facility | $245.47 | $245.47 | $245.47 | |
United
| Professional | $190.55 | $245.47 | $251.19 |