| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.01 | $22.16 | $35.92 | |
Cigna
| Professional | $27.97 | $39.10 | $39.10 | |
HMSA
| Professional | $30.00 | $33.33 | $37.50 | |
Kaiser Permanente
| Professional | $34.40 | $37.54 | $43.79 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $37.94 | $50.67 | $52.38 | |
University Health Alliance
| Professional | $34.01 | $34.01 | $34.01 |