| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $56.35 | $56.35 | $56.35 | |
HMSA
| Professional | $55.96 | $62.88 | $65.84 | |
Kaiser Permanente
| Professional | $45.08 | $49.59 | $63.11 | |
United
| Professional | $56.35 | $56.35 | $56.35 | |
University Health Alliance
| Professional | $39.96 | $48.52 | $66.20 |