| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $52.48 | $112.20 | |
Cigna
| Professional | $57.54 | $64.57 | $81.28 | |
HMSA
| Professional | $61.66 | $69.18 | $81.28 | |
Kaiser Permanente
| Professional | $46.77 | $58.88 | $69.18 | |
United
| Professional | $40.74 | $60.26 | $79.43 | |
University Health Alliance
| Professional | $37.15 | $60.26 | $66.07 |