| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.35 | $50.19 | $75.62 | |
Cigna
| Professional | $47.11 | $60.31 | $69.54 | |
HMSA
| Professional | $59.54 | $66.90 | $76.94 | |
Kaiser Permanente
| Professional | $41.62 | $53.08 | $61.28 | |
United
| Professional | $49.22 | $60.31 | $81.18 | |
University Health Alliance
| Professional | $36.45 | $47.18 | $64.56 |