| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $782.63 | $969.07 | $15,187.00 | |
Kaiser Permanente
| Professional | $562.38 | $9,138.92 | $10,385.14 | |
United
| Professional | $8,474.27 | $12,132.90 | $16,579.86 | |
University Health Alliance
| Professional | $85.50 | $10,754.00 | $22,500.00 |