| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.66 | $47.22 | $60.60 | |
Cigna
| Professional | $36.51 | $60.60 | $60.60 | |
HMSA
| Professional | $82.13 | $108.33 | $126.75 | |
Kaiser Permanente
| Professional | $50.50 | $60.60 | $75.75 | |
United
| Professional | $21.21 | $60.60 | $98.03 | |
University Health Alliance
| Professional | $56.56 | $91.73 | $127.01 |