| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $56.23 | $72.44 | |
Cigna
| Professional | $56.23 | $67.61 | $162.18 | |
HMSA
| Professional | $66.07 | $75.86 | $91.20 | |
Kaiser Permanente
| Professional | $64.57 | $77.62 | $97.72 | |
United
| Professional | $44.67 | $66.07 | $93.33 | |
University Health Alliance
| Professional | $52.48 | $64.57 | $117.49 |