| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,458.94 | $3,655.83 | $4,380.10 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
University Health Alliance
| Professional | $820.60 | $9,074.45 | $12,953.00 |