| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,162.40 | $7,551.92 | $10,102.62 | |
HMSA
| Professional | $10,964.60 | $11,481.25 | $14,401.50 | |
Kaiser Permanente
| Professional | $910.51 | $910.51 | $8,649.85 | |
United
| Professional | $5,120.03 | $5,120.03 | $7,749.33 | |
University Health Alliance
| Professional | $10,964.60 | $10,964.60 | $10,964.60 |