| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.65 | $71.54 | $293.60 | |
Cigna
| Professional | $36.15 | $53.13 | $107.92 | |
HMSA
| Professional | $76.09 | $87.33 | $104.25 | |
Kaiser Permanente
| Professional | $36.15 | $42.53 | $49.62 | |
United
| Professional | $36.15 | $44.30 | $144.40 | |
University Health Alliance
| Professional | $34.35 | $46.88 | $119.08 |