| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $31.46 | $31.46 | $31.46 | |
HMSA
| Professional | $22.97 | $24.32 | $41.10 | |
Kaiser Permanente
| Professional | $28.84 | $31.46 | $36.71 | |
United
| Professional | $18.98 | $31.46 | $44.15 | |
University Health Alliance
| Professional | $29.37 | $41.33 | $58.81 |