| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $112.58 | $137.96 | $183.42 | |
HMSA
| Professional | $114.29 | $126.99 | $148.50 | |
Kaiser Permanente
| Professional | $121.41 | $132.44 | $154.52 | |
United
| Professional | $97.06 | $137.96 | $225.62 | |
University Health Alliance
| Professional | $82.95 | $135.09 | $146.94 |