| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $15.66 | $15.66 | $15.66 | |
Cigna
| Professional | $13.24 | $15.75 | $21.68 | |
HMSA
| Professional | $19.71 | $20.64 | $26.12 | |
Kaiser Permanente
| Professional | $13.80 | $17.73 | $27.59 | |
United
| Professional | $9.32 | $15.66 | $21.68 | |
University Health Alliance
| Professional | $15.61 | $16.54 | $19.71 |