| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.16 | $58.15 | $64.93 | |
Cigna
| Professional | $41.73 | $55.45 | $63.60 | |
HMSA
| Professional | $54.58 | $60.63 | $68.23 | |
Kaiser Permanente
| Professional | $55.97 | $58.51 | $63.60 | |
United
| Professional | $47.55 | $63.60 | $84.99 | |
University Health Alliance
| Professional | $30.53 | $56.92 | $89.74 |