| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,040.03 | $1,040.03 | $1,040.03 | |
Cigna
| Professional | $605.17 | $647.96 | $1,290.64 | |
Kaiser Permanente
| Professional | $679.63 | $1,055.98 | $1,642.63 | |
United
| Professional | $372.04 | $631.95 | $1,290.64 | |
University Health Alliance
| Professional | $960.29 | $970.57 | $1,111.99 |