| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $615.05 | $4,421.54 | $5,587.01 | |
HMSA
| Professional | $8,335.79 | $8,335.79 | $8,728.58 | |
Kaiser Permanente
| Professional | $533.09 | $533.09 | $5,064.35 | |
United
| Professional | $2,539.96 | $4,146.47 | $4,146.47 | |
University Health Alliance
| Professional | $6,388.80 | $6,388.80 | $6,388.80 |