| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $698.64 | $5,200.10 | $6,410.99 | |
HMSA
| Professional | $9,803.70 | $9,803.70 | $10,265.65 | |
Kaiser Permanente
| Professional | $626.92 | $626.92 | $5,955.83 | |
United
| Professional | $2,915.27 | $2,915.27 | $4,740.72 | |
University Health Alliance
| Professional | $7,513.80 | $7,513.80 | $7,513.80 |