| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $88.97 | $88.97 | $88.97 | |
Cigna
| Professional | $43.29 | $89.49 | $106.27 | |
HMSA
| Professional | $96.61 | $101.16 | $126.18 | |
Kaiser Permanente
| Professional | $10.95 | $92.83 | $135.25 | |
United
| Professional | $37.32 | $61.49 | $106.27 | |
University Health Alliance
| Professional | $68.15 | $82.75 | $97.35 |