| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
HMSA
| Professional | $15.51 | $15.51 | $15.51 | |
Kaiser Permanente
| Professional | $11.68 | $12.74 | $14.86 | |
United
| Professional | $10.62 | $12.74 | $15.93 |