| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.17 | $33.17 | $33.17 | |
HMSA
| Professional | $24.60 | $27.64 | $28.94 | |
Kaiser Permanente
| Professional | $30.40 | $33.17 | $38.70 | |
United
| Professional | $20.51 | $33.17 | $41.46 | |
University Health Alliance
| Professional | $16.23 | $23.49 | $40.63 |