| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.52 | $36.14 | $149.19 | |
Cigna
| Professional | $26.70 | $35.85 | $54.88 | |
HMSA
| Professional | $42.01 | $48.22 | $57.56 | |
Kaiser Permanente
| Professional | $29.25 | $34.42 | $40.15 | |
United
| Professional | $29.25 | $35.85 | $85.34 | |
University Health Alliance
| Professional | $26.69 | $35.79 | $63.98 |