| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $102.94 | $102.94 | $102.94 | |
HMSA
| Professional | $164.91 | $164.91 | $164.91 | |
Kaiser Permanente
| Professional | $113.23 | $123.52 | $144.11 | |
United
| Professional | $102.94 | $135.54 | $154.41 | |
University Health Alliance
| Professional | $136.66 | $136.66 | $145.71 |