| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,045.15 | $1,045.15 | $1,045.15 | |
HMSA
| Professional | $1,499.67 | $1,499.67 | $1,769.61 | |
Kaiser Permanente
| Professional | $1,149.67 | $1,254.18 | $1,463.21 | |
United
| Professional | $1,045.15 | $1,232.59 | $1,567.73 | |
University Health Alliance
| Professional | $987.00 | $1,242.88 | $1,513.15 |