| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $582.21 | $582.21 | $582.21 | |
Cigna
| Professional | $376.09 | $445.19 | $802.22 | |
HMSA
| Professional | $729.29 | $763.65 | $951.54 | |
Kaiser Permanente
| Professional | $510.50 | $656.36 | $1,021.01 | |
United
| Professional | $279.95 | $476.81 | $802.22 | |
University Health Alliance
| Professional | $595.69 | $602.73 | $690.80 |