| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.04 | $63.19 | $83.45 | |
Cigna
| Professional | $48.00 | $71.01 | $112.04 | |
HMSA
| Professional | $69.95 | $80.40 | $89.97 | |
Kaiser Permanente
| Professional | $53.96 | $76.15 | $83.94 | |
United
| Professional | $47.83 | $65.06 | $88.63 | |
University Health Alliance
| Professional | $51.20 | $58.59 | $78.58 |