| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $61.66 | $102.33 | |
Cigna
| Professional | $63.10 | $91.20 | $125.89 | |
HMSA
| Professional | $56.23 | $69.18 | $114.82 | |
Kaiser Permanente
| Professional | $37.15 | $79.43 | $112.20 | |
United
| Professional | $48.98 | $85.11 | $114.82 | |
University Health Alliance
| Professional | $38.02 | $38.02 | $75.86 |