| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $1,126.50 | $1,332.09 | $16,033.50 | |
HMSA
| Professional | AS | $191.51 | $220.58 | $1,776.02 |
Kaiser Permanente
| Professional | $778.55 | $12,614.64 | $14,334.81 | |
United
| Professional | $11,697.21 | $17,567.73 | $24,011.93 | |
University Health Alliance
| Professional | $29.27 | $879.48 | $20,611.93 |