| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $806.01 | $806.01 | $806.01 | |
Cigna
| Professional | $58.89 | $356.59 | $708.20 | |
HMSA
| Professional | $87.86 | $87.86 | $87.86 | |
Kaiser Permanente
| Professional | $94.30 | $94.30 | $94.30 | |
United
| Professional | $325.76 | $325.76 | $806.01 |