| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.83 | $21.83 | $21.83 | |
HMSA
| Professional | $19.13 | $21.50 | $22.51 | |
Kaiser Permanente
| Professional | $20.01 | $21.83 | $25.47 | |
United
| Professional | $21.83 | $24.00 | $29.50 | |
University Health Alliance
| Professional | $19.39 | $26.11 | $38.95 |