| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $441.07 | $4,016.61 | $4,124.25 | |
HMSA
| Professional | $4,803.53 | $5,029.87 | $6,254.10 | |
Kaiser Permanente
| Professional | $484.27 | $484.27 | $4,600.56 | |
United
| Professional | $1,964.81 | $1,964.81 | $3,498.60 | |
University Health Alliance
| Professional | $4,803.53 | $4,803.53 | $4,803.53 |