| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $832.60 | $832.60 | $832.60 | |
Cigna
| Professional | $85.92 | $731.57 | $746.73 | |
HMSA
| Professional | $1,868.85 | $1,868.85 | $1,956.91 | |
Kaiser Permanente
| Professional | $101.83 | $101.83 | $101.83 | |
United
| Professional | $453.07 | $832.60 | $852.80 |