| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.85 | $30.85 | $30.85 | |
HMSA
| Professional | $20.05 | $22.66 | $27.58 | |
Kaiser Permanente
| Professional | $18.87 | $20.58 | $24.01 | |
United
| Professional | $20.70 | $21.44 | $25.02 | |
University Health Alliance
| Professional | $19.50 | $24.93 | $53.63 |