| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $818.75 | $818.75 | $818.75 | |
HMSA
| Professional | $643.00 | $714.44 | $852.86 | |
Kaiser Permanente
| Professional | $750.52 | $818.75 | $955.21 | |
United
| Professional | $682.29 | $818.75 | $1,023.44 |