| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.68 | $26.68 | $26.68 | |
HMSA
| Professional | $21.14 | $22.38 | $40.15 | |
Kaiser Permanente
| Professional | $24.45 | $26.68 | $31.12 | |
United
| Professional | $26.68 | $33.35 | $43.13 | |
University Health Alliance
| Professional | $24.90 | $40.36 | $55.89 |