| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $418.04 | $2,187.00 | $4,016.61 | |
HMSA
| Professional | $6,276.50 | $6,276.50 | $6,572.25 | |
Kaiser Permanente
| Professional | $484.27 | $484.27 | $4,600.56 | |
United
| Professional | $1,897.76 | $3,111.47 | $3,111.47 | |
University Health Alliance
| Professional | $4,803.72 | $4,803.72 | $4,803.72 |