| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.89 | $28.21 | $36.20 | |
HMSA
| Professional | $45.28 | $59.73 | $69.95 | |
Kaiser Permanente
| Professional | $30.17 | $36.20 | $45.26 | |
United
| Professional | $12.67 | $36.20 | $54.08 | |
University Health Alliance
| Professional | $33.79 | $50.60 | $70.06 |