| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.90 | $28.90 | $28.90 | |
Cigna
| Professional | $22.28 | $26.23 | $40.02 | |
HMSA
| Professional | $28.60 | $36.36 | $47.78 | |
Kaiser Permanente
| Professional | $25.47 | $32.74 | $50.93 | |
United
| Professional | $15.70 | $26.89 | $40.02 | |
University Health Alliance
| Professional | $30.25 | $31.85 | $36.38 |