| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $74.00 | $81.00 | $81.00 | |
Medcost
| Facility | $26.70 | $39.29 | $73.80 | |
Medcost
| Professional | $41.78 | $42.00 | $65.26 | |
United
| Facility | $30.00 | $30.00 | $30.00 |