| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $41.12 | $41.12 | $41.12 | |
Cigna
| Professional | $33.33 | $39.78 | $56.47 | |
HMSA
| Professional | $51.34 | $53.76 | $66.78 | |
Kaiser Permanente
| Professional | $35.83 | $46.06 | $71.65 | |
United
| Professional | $24.00 | $24.00 | $56.47 | |
University Health Alliance
| Professional | $42.14 | $42.98 | $48.48 |