| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $21.52 | $1,285.93 | |
Aetna
| Professional | $35.86 | $63.92 | $98.60 | |
Cigna
| Professional | $14.13 | $21.52 | $21.52 | |
HMSA
| Professional | $29.17 | $38.47 | $45.02 | |
Kaiser Permanente
| Professional | $17.93 | $21.52 | $26.90 | |
United
| Professional | $7.53 | $21.52 | $34.81 | |
University Health Alliance
| Professional | $20.07 | $32.58 | $45.11 |