| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.63 | $48.44 | $54.74 | |
Cigna
| Professional | $31.78 | $53.96 | $79.34 | |
HMSA
| Professional | $60.03 | $68.90 | $82.25 | |
Kaiser Permanente
| Professional | $37.75 | $53.96 | $66.13 | |
United
| Professional | $49.03 | $66.13 | $81.98 | |
University Health Alliance
| Professional | $31.20 | $56.48 | $66.61 |