| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $329.05 | $329.05 | $329.05 | |
HMSA
| Professional | $464.29 | $464.29 | $464.29 | |
Kaiser Permanente
| Professional | $361.96 | $394.86 | $460.67 | |
United
| Professional | $329.05 | $381.61 | $493.58 | |
University Health Alliance
| Professional | $310.89 | $386.67 | $410.23 |