| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.92 | $42.37 | $66.59 | |
Cigna
| Professional | $50.14 | $55.80 | $56.64 | |
HMSA
| Professional | $51.14 | $58.69 | $69.18 | |
Kaiser Permanente
| Professional | $46.63 | $50.87 | $59.35 | |
United
| Professional | $43.62 | $53.45 | $71.48 | |
University Health Alliance
| Professional | $32.68 | $53.22 | $57.88 |