| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.99 | $49.49 | $67.97 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
HMSA
| Professional | $46.89 | $46.89 | $46.89 | |
Kaiser Permanente
| Professional | $54.44 | $59.39 | $69.29 | |
United
| Professional | $44.22 | $52.10 | $65.31 | |
University Health Alliance
| Professional | $16.95 | $19.94 | $34.07 |