| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.54 | $79.54 | $79.54 | |
Aetna
| Professional | $25.98 | $37.36 | $71.00 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
HMSA
| Professional | $30.23 | $30.23 | $30.23 | |
Kaiser Permanente
| Professional | $41.11 | $44.84 | $52.32 | |
United
| Professional | $40.18 | $49.16 | $63.38 | |
University Health Alliance
| Professional | $33.84 | $33.84 | $39.81 |