| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $378.53 | $2,673.00 | $3,677.23 | |
HMSA
| Professional | $5,893.90 | $5,893.90 | $6,171.62 | |
Kaiser Permanente
| Professional | $443.32 | $443.32 | $4,211.54 | |
United
| Professional | $1,725.20 | $1,725.20 | $2,972.07 | |
University Health Alliance
| Professional | $4,511.87 | $4,511.87 | $4,511.87 |