| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.66 | $56.41 | $71.81 | |
Cigna
| Professional | $49.47 | $68.70 | $103.42 | |
HMSA
| Professional | $69.16 | $79.56 | $93.56 | |
Kaiser Permanente
| Professional | $44.13 | $60.47 | $68.64 | |
United
| Professional | $56.07 | $68.70 | $97.47 | |
University Health Alliance
| Professional | $49.97 | $68.20 | $78.29 |