| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.53 | $71.34 | $468.00 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
HMSA
| Professional | $45.90 | $51.87 | $63.11 | |
Kaiser Permanente
| Professional | $32.31 | $35.24 | $41.12 | |
United
| Professional | $36.71 | $49.27 | $51.92 | |
University Health Alliance
| Professional | $39.45 | $45.94 | $197.64 |