| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.78 | $67.81 | $89.21 | |
Cigna
| Professional | $52.00 | $75.41 | $119.33 | |
HMSA
| Professional | $74.73 | $85.90 | $96.53 | |
Kaiser Permanente
| Professional | $57.17 | $80.67 | $88.93 | |
United
| Professional | $51.37 | $69.13 | $95.19 | |
University Health Alliance
| Professional | $54.50 | $62.24 | $84.20 |