| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $38.38 | $38.38 | $38.38 | |
HMSA
| Professional | $11.25 | $35.01 | $40.93 | |
Kaiser Permanente
| Professional | $33.77 | $36.84 | $42.98 | |
United
| Professional | $38.38 | $38.38 | $43.97 | |
University Health Alliance
| Professional | $22.29 | $33.29 | $51.82 |