| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $400.51 | $400.51 | $400.51 | |
Cigna
| Professional | $44.04 | $279.36 | $467.41 | |
HMSA
| Professional | $574.29 | $601.36 | $747.15 | |
Kaiser Permanente
| Professional | $461.42 | $461.42 | $461.42 | |
United
| Professional | $260.58 | $400.51 | $464.00 | |
University Health Alliance
| Professional | $485.71 | $485.71 | $574.29 |