| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $454.52 | $454.52 | $454.52 | |
Cigna
| Professional | $47.24 | $399.37 | $407.81 | |
HMSA
| Professional | $942.15 | $942.15 | $986.54 | |
Kaiser Permanente
| Professional | $43.16 | $43.16 | $43.16 | |
United
| Professional | $247.34 | $454.52 | $465.56 |