| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $375.45 | $375.45 | $375.45 | |
HMSA
| Professional | $409.34 | $409.34 | $409.34 | |
Kaiser Permanente
| Professional | $307.83 | $335.82 | $391.80 | |
United
| Professional | $336.44 | $419.78 | $816.60 | |
University Health Alliance
| Professional | $236.50 | $278.24 | $289.91 |