| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $33.20 | $33.20 | $33.20 | |
Cigna
| Professional | $23.28 | $27.37 | $45.62 | |
HMSA
| Professional | $41.47 | $43.42 | $54.11 | |
Kaiser Permanente
| Professional | $3.01 | $37.32 | $58.06 | |
United
| Professional | $16.91 | $28.78 | $45.62 | |
University Health Alliance
| Professional | $29.91 | $34.27 | $39.28 |