| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,480.72 | $3,678.85 | $4,407.68 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
University Health Alliance
| Professional | $1,109.03 | $6,468.00 | $10,679.55 |