| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $21.83 | $21.83 | $21.83 | |
HMSA
| Professional | $47.65 | $52.94 | $52.94 | |
Kaiser Permanente
| Professional | $20.01 | $21.83 | $25.47 | |
United
| Professional | $21.83 | $22.09 | $22.68 | |
University Health Alliance
| Professional | $12.12 | $16.05 | $18.25 |