| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,817.28 | $3,817.28 | $3,817.28 | |
HMSA
| Professional | $5,118.82 | $5,118.82 | $5,118.82 | |
Kaiser Permanente
| Professional | $4,199.00 | $4,580.72 | $5,344.19 | |
United
| Professional | $3,796.38 | $4,249.43 | $5,725.92 |