| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $257.99 | $2,416.31 | $2,561.33 | |
HMSA
| Professional | $3,989.80 | $3,989.80 | $4,177.80 | |
Kaiser Permanente
| Professional | $308.77 | $308.77 | $2,933.41 | |
United
| Professional | $1,185.16 | $1,185.16 | $2,047.67 | |
University Health Alliance
| Professional | $3,053.53 | $3,053.53 | $3,053.53 |