| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $267.95 | $2,592.00 | $2,743.49 | |
HMSA
| Professional | $4,202.20 | $4,202.20 | $4,400.21 | |
Kaiser Permanente
| Professional | $330.77 | $330.77 | $3,142.32 | |
United
| Professional | $1,245.07 | $1,245.07 | $2,129.53 | |
University Health Alliance
| Professional | $3,215.60 | $3,215.60 | $3,215.60 |