| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,456.22 | $1,456.22 | $1,456.22 | |
Cigna
| Professional | $169.88 | $169.88 | $1,699.59 | |
HMSA
| Professional | $2,126.80 | $2,227.01 | $2,797.35 | |
Kaiser Permanente
| Professional | $1,677.82 | $1,677.82 | $1,677.82 | |
United
| Professional | $990.10 | $1,456.22 | $1,763.00 |