| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $52.48 | $58.88 | |
Aetna
| Professional | $33.88 | $41.69 | $89.13 | |
Cigna
| Professional | $34.67 | $56.23 | $89.13 | |
HMSA
| Professional | $53.70 | $63.10 | $70.79 | |
Kaiser Permanente
| Professional | $47.86 | $52.48 | $61.66 | |
United
| Professional | $46.77 | $58.88 | $83.18 | |
University Health Alliance
| Professional | $53.70 | $64.57 | $74.13 |