| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.06 | $36.79 | $48.59 | |
Cigna
| Professional | $29.00 | $39.00 | $48.85 | |
HMSA
| Professional | $54.58 | $57.15 | $65.72 | |
Kaiser Permanente
| Professional | $31.73 | $42.31 | $48.84 | |
United
| Professional | $34.61 | $39.22 | $66.00 | |
University Health Alliance
| Professional | $34.83 | $34.83 | $47.13 |