| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $144.21 | $144.21 | $144.21 | |
Cigna
| Professional | $111.50 | $129.57 | $199.68 | |
Kaiser Permanente
| Professional | $127.07 | $163.38 | $254.14 | |
United
| Professional | $77.77 | $133.71 | $199.68 | |
University Health Alliance
| Professional | $149.66 | $150.27 | $158.15 |