| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $648.63 | $3,087.00 | $4,214.08 | |
HMSA
| Professional | $6,118.33 | $6,406.63 | $8,036.21 | |
Kaiser Permanente
| Professional | $508.07 | $508.07 | $4,826.67 | |
United
| Professional | $2,857.01 | $2,857.01 | $4,324.20 | |
University Health Alliance
| Professional | $6,118.33 | $6,118.33 | $6,118.33 |