| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.77 | $39.22 | $58.39 | |
Cigna
| Professional | $45.41 | $50.80 | $51.77 | |
HMSA
| Professional | $46.76 | $53.66 | $63.26 | |
Kaiser Permanente
| Professional | $40.47 | $44.15 | $51.51 | |
United
| Professional | $38.28 | $46.91 | $65.45 | |
University Health Alliance
| Professional | $29.69 | $48.28 | $52.59 |