| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $192.51 | $482.25 | $3,685.49 | |
HMSA
| Professional | $492.26 | $492.26 | $492.26 | |
Kaiser Permanente
| Professional | $581.41 | $581.41 | $581.41 | |
United
| Professional | $257.42 | $1,027.11 | $1,027.11 |