| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $64.57 | $93.33 | |
Cigna
| Professional | $28.18 | $61.66 | $109.65 | |
HMSA
| Professional | $60.26 | $79.43 | $91.20 | |
Kaiser Permanente
| Professional | $53.70 | $83.18 | $109.65 | |
United
| Professional | $37.15 | $67.61 | $89.13 | |
University Health Alliance
| Professional | $54.95 | $63.10 | $85.11 |