| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.95 | $79.83 | $123.81 | |
Aetna
| Professional | $26.96 | $30.61 | $47.57 | |
Cigna
| Professional | $26.31 | $42.11 | $42.11 | |
HMSA
| Professional | $57.06 | $75.27 | $83.26 | |
Kaiser Permanente
| Professional | $38.60 | $42.11 | $49.13 | |
United
| Professional | $42.11 | $47.76 | $52.64 | |
University Health Alliance
| Professional | $35.09 | $61.61 | $85.97 |