| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $81.31 | $81.31 | $81.31 | |
Cigna
| Professional | $70.51 | $73.04 | $112.60 | |
HMSA
| Professional | $102.36 | $107.18 | $134.44 | |
Kaiser Permanente
| Professional | $7.34 | $92.12 | $143.30 | |
United
| Facility | $7.74 | $58.05 | $77.41 | |
United
| Professional | $54.56 | $81.31 | $112.60 | |
University Health Alliance
| Professional | $85.11 | $85.28 | $97.43 |