| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.06 | $83.06 | $83.06 | |
Cigna
| Professional | $42.48 | $42.48 | $42.48 | |
HMSA
| Professional | $63.25 | $63.25 | $63.25 | |
Kaiser Permanente
| Professional | $46.73 | $50.97 | $59.47 | |
United
| Professional | $42.48 | $51.99 | $63.72 | |
University Health Alliance
| Professional | $41.41 | $51.76 | $55.88 |