| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $40.93 | $40.93 | $40.93 | |
Cigna
| Professional | $32.79 | $39.42 | $56.09 | |
HMSA
| Professional | $50.99 | $53.39 | $66.33 | |
Kaiser Permanente
| Professional | $35.59 | $45.76 | $71.18 | |
United
| Professional | $23.23 | $41.36 | $56.09 | |
University Health Alliance
| Professional | $41.85 | $42.02 | $44.22 |