| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.01 | $40.81 | $52.38 | |
Aetna
| Professional | $44.87 | $44.87 | $44.87 | |
Cigna
| Professional | $52.38 | $52.38 | $52.38 | |
HMSA
| Professional | $60.00 | $66.00 | $82.50 | |
Kaiser Permanente
| Professional | $48.02 | $52.38 | $61.11 | |
United
| Professional | $52.38 | $59.55 | $84.73 | |
University Health Alliance
| Professional | $37.10 | $78.56 | $145.68 |