| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $973.30 | $1,028.70 | $1,232.50 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $337.80 | $337.80 | $413.55 | |
University Health Alliance
| Professional | $308.39 | $5,316.74 | $11,157.30 |