| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $81.44 | $81.44 | $94.95 | |
HMSA
| Professional | $114.00 | $114.00 | $114.00 | |
Kaiser Permanente
| Professional | $114.47 | $114.47 | $114.47 | |
United
| Professional | $51.66 | $91.58 | $751.40 |