| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $399.36 | $399.36 | $399.36 | |
HMSA
| Professional | $365.76 | $365.76 | $365.76 | |
Kaiser Permanente
| Professional | $244.47 | $266.70 | $311.14 | |
United
| Professional | $300.63 | $333.38 | $427.88 |