| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $9.59 | $9.59 | $9.59 | |
HMSA
| Professional | $12.28 | $13.80 | $14.45 | |
Kaiser Permanente
| Professional | $8.78 | $9.59 | $11.19 | |
United
| Professional | $9.59 | $11.99 | $15.52 | |
University Health Alliance
| Professional | $8.94 | $14.52 | $20.11 |