| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,350.00 | $7,350.00 | $7,350.00 | |
HealthNet
| Facility | $4,167.80 | $5,629.38 | $22,687.87 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 | |
United
| Facility | $2,085.00 | $2,085.00 | $2,085.00 |