| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.78 | $34.78 | $36.06 | |
HMSA
| Professional | $29.75 | $32.25 | $38.50 | |
Kaiser Permanente
| Professional | $200.00 | $200.00 | $200.00 | |
United
| Professional | $21.40 | $35.76 | $61.96 |