| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $49.47 | $49.47 | $49.47 | |
Cigna
| Professional | $39.90 | $47.93 | $67.98 | |
HMSA
| Professional | $61.81 | $64.72 | $80.42 | |
Kaiser Permanente
| Professional | $43.14 | $55.47 | $86.28 | |
United
| Professional | $28.33 | $50.21 | $67.98 | |
University Health Alliance
| Professional | $49.33 | $50.94 | $61.81 |