| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $484.14 | $484.14 | $484.14 | |
HMSA
| Professional | $685.81 | $685.81 | $685.81 | |
Kaiser Permanente
| Professional | $532.54 | $580.97 | $677.79 | |
United
| Professional | $484.14 | $563.66 | $726.21 | |
University Health Alliance
| Professional | $411.02 | $530.22 | $605.95 |