| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $526.08 | $526.08 | $526.08 | |
Cigna
| Professional | $353.55 | $422.81 | $724.94 | |
HMSA
| Professional | $659.04 | $690.09 | $859.89 | |
Kaiser Permanente
| Professional | $40.29 | $593.14 | $922.66 | |
United
| Professional | $261.94 | $425.41 | $724.94 | |
University Health Alliance
| Professional | $538.30 | $544.66 | $624.27 |