| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $531.73 | $531.73 | $531.73 | |
Cigna
| Professional | $333.25 | $408.42 | $732.79 | |
HMSA
| Professional | $666.17 | $697.56 | $869.18 | |
Kaiser Permanente
| Professional | $40.71 | $599.54 | $932.64 | |
United
| Professional | $256.48 | $422.56 | $732.79 | |
University Health Alliance
| Professional | $544.13 | $550.55 | $631.01 |