| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.45 | $37.90 | $48.66 | |
Aetna
| Professional | $39.25 | $44.61 | $55.68 | |
Cigna
| Professional | $26.31 | $48.66 | $48.66 | |
HMSA
| Professional | $57.06 | $75.27 | $83.26 | |
Kaiser Permanente
| Professional | $44.61 | $48.66 | $56.77 | |
United
| Professional | $47.76 | $48.66 | $68.12 | |
University Health Alliance
| Professional | $40.54 | $61.61 | $91.24 |