| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,757.90 | $2,914.88 | $3,492.36 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
University Health Alliance
| Professional | $878.20 | $3,900.00 | $8,000.00 |