| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $847.50 | $847.50 | $847.50 | |
HMSA
| Professional | $628.60 | $706.25 | $739.53 | |
Kaiser Permanente
| Professional | $776.88 | $847.50 | $988.75 | |
United
| Professional | $847.50 | $847.50 | $1,059.38 |