| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19.52 | $19.52 | $19.52 | |
Cigna
| Professional | $14.57 | $17.44 | $25.80 | |
HMSA
| Professional | $23.45 | $24.55 | $30.53 | |
Kaiser Permanente
| Professional | $16.37 | $21.04 | $32.72 | |
United
| Professional | $10.54 | $18.67 | $25.80 | |
University Health Alliance
| Professional | $19.26 | $19.32 | $20.35 |