| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.29 | $41.13 | $52.79 | |
Cigna
| Professional | $41.23 | $52.79 | $52.79 | |
HMSA
| Professional | $71.53 | $94.34 | $110.43 | |
Kaiser Permanente
| Professional | $43.99 | $52.79 | $65.98 | |
United
| Professional | $18.48 | $52.79 | $85.39 | |
University Health Alliance
| Professional | $49.27 | $79.90 | $110.63 |