| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $306.20 | $306.20 | $306.20 | |
Cigna
| Professional | $31.65 | $209.52 | $308.19 | |
HMSA
| Professional | $447.70 | $468.80 | $588.00 | |
Kaiser Permanente
| Professional | $32.03 | $32.03 | $304.25 | |
United
| Professional | $201.05 | $306.20 | $316.50 | |
University Health Alliance
| Professional | $320.26 | $320.26 | $447.70 |