| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $968.88 | $968.88 | $968.88 | |
Cigna
| Professional | $59.64 | $59.64 | $851.29 | |
HMSA
| Professional | $95.44 | $1,409.25 | $1,475.65 | |
Kaiser Permanente
| Professional | $111.42 | $111.42 | $111.42 | |
United
| Professional | $388.26 | $730.81 | $968.88 |