| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.38 | $410.68 | $410.68 | |
Aetna
| Professional | $1.48 | $21.42 | $52.20 | |
Cigna
| Professional | $1.48 | $1.48 | $1.78 | |
HMSA
| Professional | $2.16 | $2.16 | $2.25 | |
Kaiser Permanente
| Professional | $1.48 | $1.77 | $2.06 | |
United
| Professional | $1.48 | $1.78 | $2.22 | |
University Health Alliance
| Professional | $1.58 | $1.96 | $2.00 |