| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.27 | $36.57 | $46.93 | |
Cigna
| Professional | $20.22 | $46.93 | $46.93 | |
HMSA
| Professional | $41.42 | $54.64 | $63.93 | |
Kaiser Permanente
| Professional | $39.11 | $46.93 | $58.67 | |
United
| Professional | $16.43 | $46.93 | $58.67 | |
University Health Alliance
| Professional | $37.36 | $48.89 | $68.44 |