| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $55.58 | $55.58 | $55.58 | |
Kaiser Permanente
| Professional | $44.46 | $48.91 | $62.24 | |
United
| Professional | $55.58 | $55.58 | $62.01 | |
University Health Alliance
| Professional | $31.33 | $38.04 | $75.26 |