| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $676.08 | $676.08 | $741.31 | |
Kaiser Permanente
| Professional | $1,380.38 | $1,380.38 | $3,019.95 | |
United
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
United
| Professional | $1,023.29 | $1,023.29 | $1,174.90 |