| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.26 | $79.26 | $79.26 | |
HMSA
| Professional | $112.61 | $112.61 | $112.61 | |
Kaiser Permanente
| Professional | $87.18 | $95.11 | $110.96 | |
United
| Professional | $79.26 | $92.56 | $118.89 | |
University Health Alliance
| Professional | $69.61 | $89.80 | $99.50 |