| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.04 | $33.04 | $33.04 | |
HMSA
| Professional | $25.36 | $29.11 | $29.84 | |
Kaiser Permanente
| Professional | $29.07 | $31.72 | $37.00 | |
United
| Professional | $33.04 | $33.04 | $42.99 | |
University Health Alliance
| Professional | $17.05 | $24.35 | $29.32 |