| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.21 | $31.97 | $41.03 | |
Aetna
| Professional | $28.18 | $28.18 | $46.95 | |
Cigna
| Professional | $24.93 | $41.03 | $41.03 | |
HMSA
| Professional | $48.06 | $60.41 | $74.25 | |
Kaiser Permanente
| Professional | $34.19 | $41.03 | $51.29 | |
United
| Professional | $14.36 | $41.03 | $61.25 | |
University Health Alliance
| Professional | $29.06 | $61.54 | $105.30 |