| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $25.92 | $25.92 | $25.92 | |
Cigna
| Professional | $24.94 | $26.06 | $35.89 | |
HMSA
| Professional | $34.29 | $35.92 | $45.95 | |
Kaiser Permanente
| Professional | $22.84 | $29.42 | $45.68 | |
United
| Professional | $18.11 | $25.92 | $35.89 | |
University Health Alliance
| Professional | $25.84 | $29.10 | $33.36 |