| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $904.20 | $5,109.46 | $5,874.42 | |
HMSA
| Professional | $8,529.00 | $8,930.89 | $11,202.50 | |
Kaiser Permanente
| Professional | $708.26 | $708.26 | $6,728.47 | |
United
| Professional | $3,982.72 | $3,982.72 | $6,028.00 | |
University Health Alliance
| Professional | $8,529.00 | $8,529.00 | $8,529.00 |