| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.95 | $32.81 | $42.11 | |
Aetna
| Professional | $38.60 | $40.99 | $48.18 | |
Cigna
| Professional | $27.88 | $42.11 | $42.11 | |
HMSA
| Professional | $57.06 | $71.45 | $83.26 | |
Kaiser Permanente
| Professional | $38.60 | $42.11 | $49.13 | |
United
| Professional | $42.11 | $49.04 | $68.12 | |
University Health Alliance
| Professional | $29.83 | $64.62 | $90.72 |