| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.58 | $21.58 | $21.58 | |
HMSA
| Professional | $23.09 | $25.95 | $27.17 | |
Kaiser Permanente
| Professional | $19.78 | $21.58 | $25.17 | |
United
| Professional | $21.58 | $26.97 | $29.23 | |
University Health Alliance
| Professional | $20.14 | $27.33 | $38.89 |