| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,018.32 | $1,018.32 | $1,018.32 | |
Cigna
| Professional | $359.59 | $359.59 | $894.73 | |
Kaiser Permanente
| Professional | $96.20 | $96.20 | $96.20 | |
United
| Professional | $469.94 | $884.56 | $1,018.32 | |
University Health Alliance
| Professional | $1,013.35 | $1,013.35 | $1,013.35 |