| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $23.38 | $23.38 | $23.38 | |
Cigna
| Professional | $17.30 | $20.26 | $32.08 | |
HMSA
| Professional | $23.13 | $30.53 | $38.04 | |
Kaiser Permanente
| Professional | $2.09 | $26.24 | $40.82 | |
United
| Professional | $12.53 | $21.25 | $32.08 | |
University Health Alliance
| Professional | $24.00 | $24.10 | $27.62 |