| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.32 | $44.09 | $71.64 | |
Cigna
| Professional | $43.21 | $52.95 | $78.54 | |
HMSA
| Professional | $55.41 | $63.69 | $115.90 | |
Kaiser Permanente
| Professional | $43.21 | $50.83 | $59.30 | |
United
| Professional | $34.22 | $52.95 | $84.74 | |
University Health Alliance
| Professional | $34.69 | $51.83 | $112.68 |