| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.79 | $94.14 | $94.14 | |
Aetna
| Professional | $66.78 | $83.49 | $108.92 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
HMSA
| Professional | $93.00 | $93.00 | $93.00 | |
Kaiser Permanente
| Professional | $107.98 | $117.79 | $137.41 | |
United
| Professional | $100.19 | $103.33 | $129.35 | |
University Health Alliance
| Professional | $59.45 | $69.94 | $83.49 |