| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $47.86 | $245.47 | |
Cigna
| Professional | $36.31 | $53.70 | $107.15 | |
HMSA
| Professional | $79.43 | $87.10 | $104.71 | |
Kaiser Permanente
| Professional | $37.15 | $43.65 | $51.29 | |
United
| Professional | $36.31 | $46.77 | $144.54 | |
University Health Alliance
| Professional | $34.67 | $46.77 | $120.23 |