| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $386.96 | $3,582.06 | $3,621.85 | |
HMSA
| Professional | $4,256.80 | $4,457.38 | $5,542.40 | |
Kaiser Permanente
| Professional | $431.86 | $431.86 | $4,102.67 | |
United
| Professional | $1,733.66 | $1,733.66 | $3,087.00 | |
University Health Alliance
| Professional | $4,256.80 | $4,256.80 | $4,256.80 |