| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $52.48 | $165.96 | |
Cigna
| Professional | $104.71 | $104.71 | $104.71 | |
HMSA
| Professional | $66.07 | $81.28 | $89.13 | |
Kaiser Permanente
| Professional | $45.71 | $50.12 | $58.88 | |
United
| Professional | $46.77 | $67.61 | $74.13 | |
University Health Alliance
| Professional | $38.02 | $61.66 | $158.49 |