| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $24.50 | $24.50 | $24.50 | |
Cigna
| Professional | $10.65 | $12.06 | $27.68 | |
HMSA
| Professional | $25.16 | $26.35 | $32.88 | |
Kaiser Permanente
| Professional | $16.38 | $22.64 | $35.22 | |
United
| Professional | $7.56 | $12.88 | $27.68 | |
University Health Alliance
| Professional | $20.64 | $21.92 | $25.16 |