| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $286.94 | $2,446.40 | $3,315.66 | |
HMSA
| Professional | $4,867.30 | $4,867.30 | $5,096.64 | |
Kaiser Permanente
| Professional | $399.75 | $399.75 | $3,797.63 | |
United
| Professional | $1,397.33 | $1,397.33 | $2,392.92 | |
University Health Alliance
| Professional | $3,723.27 | $3,723.27 | $3,723.27 |