| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $444.33 | $444.33 | $444.33 | |
Cigna
| Professional | $244.43 | $263.95 | $551.40 | |
Kaiser Permanente
| Professional | $271.86 | $451.14 | $701.78 | |
United
| Professional | $158.37 | $254.06 | $551.40 | |
University Health Alliance
| Professional | $410.26 | $414.65 | $475.07 |