| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $26.87 | $26.87 | $26.87 | |
Cigna
| Professional | $21.27 | $25.52 | $36.58 | |
HMSA
| Professional | $33.25 | $34.82 | $43.26 | |
Kaiser Permanente
| Professional | $23.21 | $29.84 | $46.41 | |
United
| Professional | $15.16 | $15.16 | $36.58 | |
University Health Alliance
| Professional | $26.79 | $27.40 | $33.25 |