| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $18.37 | $18.37 | $18.37 | |
Cigna
| Professional | $15.26 | $18.36 | $25.43 | |
HMSA
| Professional | $23.12 | $24.21 | $30.32 | |
Kaiser Permanente
| Professional | $16.18 | $20.81 | $32.36 | |
United
| Professional | $10.76 | $18.37 | $25.43 | |
University Health Alliance
| Professional | $18.30 | $19.21 | $23.12 |