| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $932.94 | $1,103.20 | $16,033.50 | |
HMSA
| Professional | AS | $158.60 | $182.68 | $1,389.86 |
Kaiser Permanente
| Professional | $651.02 | $9,871.84 | $11,218.00 | |
United
| Professional | $9,153.89 | $11,218.00 | $18,667.36 | |
University Health Alliance
| Professional | $507.84 | $764.75 | $13,853.17 |