| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,640.63 | $3,640.63 | $3,640.63 | |
HMSA
| Professional | $2,700.30 | $3,033.86 | $3,176.82 | |
Kaiser Permanente
| Professional | $3,337.25 | $3,640.63 | $4,247.39 | |
United
| Professional | $3,640.63 | $3,640.63 | $4,550.79 |