| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,873.60 | $3,037.18 | $3,638.88 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
University Health Alliance
| Professional | $914.58 | $3,900.00 | $8,000.00 |