| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $50.66 | $50.66 | $50.66 | |
HMSA
| Professional | $23.45 | $27.59 | $44.21 | |
Kaiser Permanente
| Professional | $46.44 | $50.66 | $59.11 | |
United
| Professional | $20.51 | $50.66 | $63.33 | |
University Health Alliance
| Professional | $16.23 | $25.83 | $62.06 |