| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.92 | $61.30 | $88.87 | |
Cigna
| Professional | $36.52 | $92.77 | $117.77 | |
HMSA
| Professional | $3.15 | $105.24 | $126.41 | |
Kaiser Permanente
| Professional | $39.38 | $42.96 | $50.12 | |
United
| Professional | $36.52 | $44.75 | $93.85 | |
University Health Alliance
| Professional | $31.18 | $50.78 | $88.01 |