| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.11 | $33.00 | $42.35 | |
Cigna
| Professional | $9.42 | $42.35 | $42.35 | |
HMSA
| Professional | $25.73 | $31.41 | $36.95 | |
Kaiser Permanente
| Professional | $35.29 | $42.35 | $52.94 | |
United
| Professional | $14.82 | $42.35 | $52.94 | |
University Health Alliance
| Professional | $18.44 | $27.65 | $51.88 |