| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $133.29 | $133.29 | $133.29 | |
Kaiser Permanente
| Professional | $106.63 | $117.29 | $149.28 | |
United
| Professional | $130.52 | $130.52 | $133.29 | |
University Health Alliance
| Professional | $77.90 | $94.60 | $160.49 |