| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26.18 | $26.18 | $26.18 | |
Cigna
| Professional | $21.16 | $25.46 | $36.04 | |
HMSA
| Professional | $32.77 | $34.31 | $42.63 | |
Kaiser Permanente
| Professional | $22.87 | $29.40 | $45.74 | |
United
| Professional | $14.97 | $14.97 | $36.04 | |
University Health Alliance
| Professional | $26.90 | $27.00 | $28.42 |