| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.19 | $48.19 | $48.19 | |
Cigna
| Professional | $37.90 | $45.55 | $65.44 | |
HMSA
| Professional | $59.49 | $62.29 | $77.39 | |
Kaiser Permanente
| Professional | $41.52 | $53.38 | $83.03 | |
United
| Professional | $26.97 | $48.03 | $65.44 | |
University Health Alliance
| Professional | $48.83 | $49.02 | $51.59 |