| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.14 | $34.15 | $43.84 | |
Cigna
| Professional | $21.20 | $43.84 | $43.84 | |
HMSA
| Professional | $32.51 | $38.78 | $43.11 | |
Kaiser Permanente
| Professional | $36.53 | $43.84 | $54.80 | |
United
| Professional | $15.34 | $43.84 | $54.80 | |
University Health Alliance
| Professional | $31.05 | $43.11 | $63.93 |