| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $190.46 | $190.46 | $190.46 | |
HMSA
| Professional | $96.90 | $106.59 | $133.24 | |
Kaiser Permanente
| Professional | $70.11 | $76.48 | $89.24 | |
United
| Professional | $79.68 | $92.13 | $110.85 | |
University Health Alliance
| Professional | $79.38 | $99.83 | $208.43 |