| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $10.48 | $10.48 | $10.48 | |
Cigna
| Professional | $8.00 | $9.09 | $14.51 | |
HMSA
| Professional | $13.19 | $13.81 | $17.30 | |
Kaiser Permanente
| Professional | $0.94 | $11.87 | $18.47 | |
United
| Professional | $5.69 | $5.69 | $14.51 | |
University Health Alliance
| Professional | $10.93 | $10.97 | $12.56 |