| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $52.76 | $52.76 | $52.76 | |
HMSA
| Professional | $48.18 | $55.48 | $58.09 | |
Kaiser Permanente
| Professional | $46.43 | $50.65 | $59.09 | |
United
| Professional | $52.76 | $52.76 | $70.34 | |
University Health Alliance
| Professional | $38.34 | $58.91 | $98.19 |