| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $53.33 | $68.45 | |
Aetna
| Professional | $4.05 | $70.00 | $91.63 | |
Cigna
| Professional | $68.45 | $68.45 | $68.45 | |
HMSA
| Professional | $60.51 | $66.56 | $83.20 | |
Kaiser Permanente
| Professional | $62.74 | $68.45 | $79.86 | |
United
| Professional | $57.04 | $68.45 | $85.56 | |
University Health Alliance
| Professional | $48.48 | $77.00 | $105.89 |