| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $323.59 | $380.19 | $457.09 | |
HMSA
| Professional | $30.20 | $30.20 | $30.20 | |
Kaiser Permanente
| Professional | $234.42 | $234.42 | $676.08 | |
United
| Professional | $69.18 | $95.50 | $141.25 | |
University Health Alliance
| Professional | $67.61 | $81.28 | $112.20 |