| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.07 | $48.07 | $48.07 | |
Cigna
| Professional | $37.64 | $45.15 | $65.06 | |
HMSA
| Professional | $59.15 | $61.94 | $76.97 | |
Kaiser Permanente
| Professional | $41.29 | $53.08 | $82.57 | |
United
| Professional | $26.90 | $47.68 | $65.06 | |
University Health Alliance
| Professional | $47.93 | $48.75 | $55.87 |