| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,015.90 | $3,015.90 | $3,015.90 | |
HMSA
| Professional | $2,236.92 | $2,513.25 | $2,631.67 | |
Kaiser Permanente
| Professional | $2,764.58 | $3,015.90 | $3,518.55 | |
United
| Professional | $3,015.90 | $3,015.90 | $3,769.88 |