| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $173.78 | $208.93 | |
Aetna
| Professional | $6.92 | $134.90 | $218.78 | |
Cigna
| Professional | $91.20 | $95.50 | $208.93 | |
HMSA
| Professional | $186.21 | $251.19 | $251.19 | |
Kaiser Permanente
| Professional | $190.55 | $208.93 | $263.03 | |
United
| Professional | $87.10 | $173.78 | $263.03 | |
University Health Alliance
| Professional | $147.91 | $257.04 | $389.05 |