| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $26.62 | $26.62 | $26.62 | |
HMSA
| Professional | $41.93 | $41.93 | $52.41 | |
Kaiser Permanente
| Professional | $29.29 | $31.95 | $37.27 | |
United
| Professional | $26.62 | $34.47 | $39.93 |