| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.34 | $62.45 | $342.31 | |
Cigna
| Professional | $107.87 | $107.87 | $107.87 | |
HMSA
| Professional | $99.65 | $111.48 | $137.03 | |
Kaiser Permanente
| Professional | $36.90 | $40.26 | $46.97 | |
United
| Professional | $41.94 | $57.65 | $78.34 | |
University Health Alliance
| Professional | $32.67 | $52.58 | $259.98 |