| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.64 | $52.88 | $72.22 | |
Cigna
| Professional | $32.71 | $42.04 | $70.89 | |
HMSA
| Professional | $111.10 | $124.82 | $143.54 | |
Kaiser Permanente
| Professional | $36.99 | $40.36 | $47.08 | |
United
| Professional | $36.32 | $42.04 | $69.72 | |
University Health Alliance
| Professional | $45.96 | $74.84 | $109.72 |