| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $674.65 | $3,969.00 | $4,382.99 | |
HMSA
| Professional | $6,363.80 | $6,663.66 | $8,358.60 | |
Kaiser Permanente
| Professional | $528.44 | $528.44 | $5,020.18 | |
United
| Professional | $2,971.65 | $2,971.65 | $4,497.67 | |
University Health Alliance
| Professional | $6,363.80 | $6,363.80 | $6,363.80 |