| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,283.58 | $8,339.12 | $11,155.72 | |
HMSA
| Professional | $12,107.60 | $12,678.11 | $12,678.11 | |
Kaiser Permanente
| Professional | $1,005.41 | $1,005.41 | $9,551.39 | |
United
| Professional | $5,653.78 | $5,653.78 | $8,557.20 | |
University Health Alliance
| Professional | $12,107.60 | $12,107.60 | $12,107.60 |