| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.45 | $46.37 | $62.27 | |
Cigna
| Professional | $25.88 | $58.70 | $107.64 | |
HMSA
| Professional | $291.14 | $2,286.00 | $2,798.00 | |
Kaiser Permanente
| Professional | $24.63 | $56.58 | $70.73 | |
United
| Professional | $46.45 | $63.93 | $87.88 | |
University Health Alliance
| Professional | $21.11 | $61.04 | $71.01 |