| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.14 | $37.56 | $48.20 | |
Cigna
| Professional | $8.25 | $48.20 | $48.20 | |
HMSA
| Professional | $22.25 | $27.25 | $42.06 | |
Kaiser Permanente
| Professional | $40.17 | $48.20 | $60.26 | |
United
| Professional | $14.48 | $48.20 | $60.26 | |
University Health Alliance
| Professional | $15.93 | $25.34 | $59.05 |