| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.76 | $39.39 | $50.56 | |
Cigna
| Professional | $25.32 | $50.56 | $50.56 | |
HMSA
| Professional | $37.50 | $44.12 | $52.66 | |
Kaiser Permanente
| Professional | $42.13 | $50.56 | $63.20 | |
United
| Professional | $17.69 | $50.56 | $72.47 | |
University Health Alliance
| Professional | $35.81 | $56.88 | $94.79 |