| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.15 | $52.06 | $63.37 | |
Cigna
| Professional | $51.35 | $66.41 | $68.20 | |
HMSA
| Professional | $65.93 | $75.81 | $92.86 | |
Kaiser Permanente
| Professional | $44.90 | $60.03 | $76.40 | |
United
| Professional | $55.66 | $70.94 | $94.74 | |
University Health Alliance
| Professional | $29.27 | $49.45 | $73.18 |