| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $483.19 | $483.19 | $483.19 | |
Cigna
| Professional | $40.29 | $382.81 | $424.55 | |
HMSA
| Professional | $862.50 | $862.50 | $903.14 | |
Kaiser Permanente
| Professional | $54.41 | $54.41 | $54.41 | |
United
| Professional | $191.74 | $360.90 | $483.19 |