| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.33 | $67.62 | $105.86 | |
Cigna
| Professional | $66.11 | $90.83 | $124.33 | |
HMSA
| Professional | $52.22 | $60.02 | $113.69 | |
Kaiser Permanente
| Professional | $42.56 | $69.38 | $100.92 | |
United
| Professional | $85.78 | $102.40 | $132.51 | |
University Health Alliance
| Professional | $38.15 | $38.15 | $76.14 |