| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $35.65 | $35.65 | $35.65 | |
Cigna
| Professional | $27.09 | $30.91 | $49.37 | |
HMSA
| Professional | $44.87 | $46.98 | $58.79 | |
Kaiser Permanente
| Professional | $3.19 | $40.39 | $62.83 | |
United
| Professional | $19.63 | $32.24 | $49.37 | |
University Health Alliance
| Professional | $37.09 | $37.22 | $42.68 |