| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.32 | $41.17 | $52.84 | |
Cigna
| Professional | $14.33 | $52.84 | $52.84 | |
HMSA
| Professional | $38.72 | $44.03 | $47.47 | |
Kaiser Permanente
| Professional | $44.03 | $52.84 | $66.05 | |
United
| Professional | $18.48 | $52.84 | $66.05 | |
University Health Alliance
| Professional | $27.75 | $39.61 | $64.72 |