| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.15 | $61.66 | $81.28 | |
Cigna
| Professional | $24.55 | $28.18 | $66.07 | |
HMSA
| Professional | $61.66 | $69.18 | $72.44 | |
Kaiser Permanente
| Professional | $46.77 | $54.95 | $74.13 | |
United
| Professional | $30.20 | $33.88 | $87.10 | |
University Health Alliance
| Professional | $47.86 | $72.44 | $83.18 |