| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $43.70 | $43.70 | $43.70 | |
Cigna
| Professional | $36.74 | $43.93 | $60.51 | |
HMSA
| Professional | $55.01 | $57.60 | $72.59 | |
Kaiser Permanente
| Professional | $38.51 | $49.51 | $77.01 | |
United
| Professional | $25.85 | $43.70 | $60.51 | |
University Health Alliance
| Professional | $43.56 | $45.98 | $55.01 |