| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $60.67 | $60.67 | $60.67 | |
HMSA
| Professional | $45.00 | $50.56 | $52.94 | |
Kaiser Permanente
| Professional | $55.62 | $60.67 | $70.78 | |
United
| Professional | $22.09 | $60.67 | $75.84 | |
University Health Alliance
| Professional | $17.48 | $27.83 | $74.31 |