| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $44.41 | $44.41 | $44.41 | |
Cigna
| Professional | $29.99 | $35.90 | $60.92 | |
HMSA
| Professional | $55.38 | $57.99 | $72.27 | |
Kaiser Permanente
| Professional | $4.00 | $49.84 | $77.53 | |
United
| Professional | $22.31 | $37.67 | $60.92 | |
University Health Alliance
| Professional | $40.01 | $45.77 | $52.46 |