| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.89 | $48.02 | $120.15 | |
Cigna
| Professional | $41.77 | $65.18 | $93.39 | |
HMSA
| Professional | $45.86 | $55.23 | $65.19 | |
Kaiser Permanente
| Professional | $74.70 | $82.18 | $93.39 | |
United
| Professional | $57.82 | $76.20 | $103.82 | |
University Health Alliance
| Professional | $64.62 | $82.83 | $96.22 |