| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.74 | $106.86 | $333.33 | |
Cigna
| Professional | $105.86 | $105.86 | $105.86 | |
HMSA
| Professional | $62.80 | $69.08 | $86.35 | |
Kaiser Permanente
| Professional | $41.56 | $45.34 | $52.89 | |
United
| Professional | $47.23 | $66.86 | $74.89 | |
University Health Alliance
| Professional | $38.02 | $60.06 | $158.66 |