| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
HMSA
| Professional | $21.39 | $24.03 | $25.16 | |
Kaiser Permanente
| Professional | $26.43 | $28.84 | $33.64 | |
United
| Professional | $20.51 | $28.84 | $36.04 | |
University Health Alliance
| Professional | $16.23 | $23.17 | $35.32 |