| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $211.79 | $211.79 | $211.79 | |
Cigna
| Professional | $83.15 | $158.74 | $270.14 | |
Kaiser Permanente
| Professional | $171.91 | $221.02 | $343.81 | |
United
| Professional | $96.73 | $162.04 | $270.14 | |
University Health Alliance
| Professional | $202.32 | $203.09 | $232.71 |