| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.43 | $48.09 | $61.72 | |
Cigna
| Professional | $61.72 | $61.72 | $61.72 | |
HMSA
| Professional | $45.77 | $53.85 | $64.29 | |
Kaiser Permanente
| Professional | $51.43 | $61.72 | $77.15 | |
United
| Professional | $44.56 | $61.72 | $61.72 | |
University Health Alliance
| Professional | $69.43 | $69.43 | $75.59 |