| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.20 | $64.20 | $64.20 | |
Cigna
| Professional | $42.49 | $51.33 | $88.34 | |
HMSA
| Professional | $80.31 | $84.09 | $104.79 | |
Kaiser Permanente
| Professional | $5.78 | $72.28 | $112.43 | |
United
| Professional | $32.02 | $52.86 | $88.34 | |
University Health Alliance
| Professional | $55.17 | $66.38 | $80.31 |