| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.97 | $44.18 | $56.70 | |
Aetna
| Professional | $7.01 | $35.75 | $39.31 | |
Cigna
| Professional | $56.70 | $56.70 | $56.70 | |
HMSA
| Professional | $93.90 | $103.29 | $129.11 | |
Kaiser Permanente
| Professional | $51.98 | $56.70 | $66.15 | |
United
| Professional | $47.25 | $56.70 | $70.88 | |
University Health Alliance
| Professional | $40.15 | $69.45 | $125.83 |