| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $65.53 | $65.53 | $65.53 | |
Cigna
| Professional | $35.11 | $41.86 | $74.92 | |
HMSA
| Professional | $68.11 | $71.31 | $88.68 | |
Kaiser Permanente
| Professional | $46.24 | $61.08 | $95.02 | |
United
| Professional | $25.24 | $65.53 | $74.92 | |
University Health Alliance
| Professional | $55.99 | $56.19 | $59.12 |