| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,940.00 | $5,940.00 | $5,940.00 | |
HMSA
| Professional | $4,405.75 | $4,950.00 | $5,183.24 | |
Kaiser Permanente
| Professional | $5,445.00 | $5,940.00 | $6,930.00 | |
United
| Professional | $3,769.88 | $3,769.88 | $5,940.00 |