| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $106.49 | $106.49 | $795.00 | |
HMSA
| Professional | $1,370.20 | $1,434.76 | $1,782.60 | |
Kaiser Permanente
| Professional | $94.99 | $94.99 | $1,035.41 | |
United
| Professional | $625.79 | $625.79 | $1,114.30 | |
University Health Alliance
| Professional | $1,370.20 | $1,370.20 | $1,370.20 |