| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.75 | $57.52 | $73.81 | |
Aetna
| Professional | $61.17 | $61.17 | $61.17 | |
Cigna
| Professional | $73.81 | $73.81 | $73.81 | |
HMSA
| Professional | $81.56 | $96.24 | $112.15 | |
Kaiser Permanente
| Professional | $67.67 | $73.81 | $86.13 | |
United
| Professional | $61.52 | $73.81 | $92.28 | |
University Health Alliance
| Professional | $52.29 | $90.43 | $138.41 |