| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $432.71 | $432.71 | $432.71 | |
Cigna
| Professional | $277.51 | $331.28 | $552.40 | |
HMSA
| Professional | $502.18 | $525.84 | $655.58 | |
Kaiser Permanente
| Professional | $351.53 | $451.96 | $703.05 | |
United
| Professional | $208.25 | $359.95 | $552.40 | |
University Health Alliance
| Professional | $413.73 | $437.05 | $475.87 |