| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $27.65 | $27.65 | $27.65 | |
HMSA
| Professional | $26.70 | $30.00 | $31.41 | |
Kaiser Permanente
| Professional | $25.34 | $27.65 | $32.26 | |
United
| Professional | $16.89 | $27.65 | $39.33 | |
University Health Alliance
| Professional | $25.80 | $36.52 | $51.84 |