| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
HMSA
| Professional | $123.81 | $123.81 | $123.81 | |
Kaiser Permanente
| Professional | $96.01 | $104.74 | $122.20 | |
United
| Professional | $84.69 | $87.28 | $130.91 |