| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.18 | $36.47 | $46.80 | |
Cigna
| Professional | $15.51 | $46.80 | $46.80 | |
HMSA
| Professional | $35.77 | $42.08 | $49.21 | |
Kaiser Permanente
| Professional | $39.00 | $46.80 | $58.50 | |
United
| Professional | $16.38 | $46.80 | $58.50 | |
University Health Alliance
| Professional | $29.80 | $43.00 | $65.44 |