| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $47.31 | $47.31 | $47.31 | |
Cigna
| Professional | $35.56 | $41.02 | $65.40 | |
HMSA
| Professional | $59.45 | $62.25 | $77.56 | |
Kaiser Permanente
| Professional | $40.49 | $53.51 | $83.23 | |
United
| Professional | $25.18 | $43.49 | $65.40 | |
University Health Alliance
| Professional | $48.94 | $49.13 | $56.31 |