| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $147.91 | $181.97 | |
Aetna
| Professional | $81.28 | $141.25 | $190.55 | |
Cigna
| Professional | $79.43 | $85.11 | $181.97 | |
HMSA
| Professional | $151.36 | $186.21 | $186.21 | |
Kaiser Permanente
| Professional | $165.96 | $181.97 | $223.87 | |
United
| Professional | $75.86 | $151.36 | $223.87 | |
University Health Alliance
| Professional | $128.82 | $204.17 | $338.84 |