| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.07 | $16.07 | $16.07 | |
HMSA
| Professional | $55.89 | $55.89 | $55.89 | |
Kaiser Permanente
| Professional | $17.68 | $19.29 | $22.51 | |
United
| Professional | $16.07 | $24.12 | $45.93 | |
University Health Alliance
| Professional | $8.19 | $15.58 | $49.38 |