| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $81.28 | $100.00 | |
Aetna
| Professional | $44.67 | $77.62 | $107.15 | |
Cigna
| Professional | $100.00 | $100.00 | $100.00 | |
HMSA
| Professional | $83.18 | $104.71 | $104.71 | |
Kaiser Permanente
| Professional | $91.20 | $100.00 | $125.89 | |
United
| Professional | $39.81 | $87.10 | $125.89 | |
University Health Alliance
| Professional | $70.79 | $123.03 | $186.21 |