| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,495.41 | $5,754.40 | $6,918.31 | |
Kaiser Permanente
| Facility | $0.79 | $0.79 | $1.20 | |
Kaiser Permanente
| Professional | $0.79 | $0.79 | $1.20 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 |