| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $66.64 | $66.64 | $66.64 | |
HMSA
| Professional | $96.27 | $96.27 | $96.27 | |
Kaiser Permanente
| Professional | $73.31 | $79.97 | $93.30 | |
United
| Professional | $74.64 | $79.12 | $99.96 | |
University Health Alliance
| Professional | $59.76 | $79.79 | $85.06 |