| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
HMSA
| Professional | $1,091.75 | $1,290.99 | $16,033.50 | |
HMSA
| Professional | AS | $185.60 | $213.78 | $1,417.69 |
Kaiser Permanente
| Professional | $757.88 | $10,069.54 | $11,442.66 | |
United
| Professional | $9,337.20 | $13,713.47 | $18,716.27 | |
University Health Alliance
| Professional | $589.64 | $887.92 | $14,005.21 |