| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.43 | $36.75 | $47.17 | |
Aetna
| Professional | $3.88 | $35.75 | $39.31 | |
Cigna
| Professional | $47.17 | $47.17 | $47.17 | |
HMSA
| Professional | $93.90 | $110.80 | $129.11 | |
Kaiser Permanente
| Professional | $43.24 | $47.17 | $55.03 | |
United
| Professional | $39.31 | $47.17 | $58.97 | |
University Health Alliance
| Professional | $33.40 | $68.79 | $164.33 |