| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.83 | $21.83 | $21.83 | |
HMSA
| Professional | $13.48 | $15.15 | $15.86 | |
Kaiser Permanente
| Professional | $20.01 | $21.83 | $25.47 | |
United
| Professional | $20.51 | $21.83 | $22.68 | |
University Health Alliance
| Professional | $15.50 | $22.46 | $27.31 |