| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.46 | $28.85 | $37.03 | |
Cigna
| Professional | $18.26 | $37.03 | $37.03 | |
HMSA
| Professional | $35.25 | $44.75 | $54.45 | |
Kaiser Permanente
| Professional | $30.86 | $37.03 | $46.29 | |
United
| Professional | $12.96 | $37.03 | $46.29 | |
University Health Alliance
| Professional | $26.23 | $42.25 | $69.44 |