| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $40.57 | $40.57 | $41.34 | |
HMSA
| Professional | $51.39 | $51.39 | $51.39 | |
Kaiser Permanente
| Professional | $49.85 | $49.85 | $49.85 | |
United
| Professional | $24.73 | $39.88 | $401.10 |