| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.74 | $56.71 | $77.50 | |
Cigna
| Professional | $50.89 | $67.69 | $125.29 | |
HMSA
| Professional | $69.48 | $79.75 | $89.77 | |
Kaiser Permanente
| Professional | $52.19 | $59.09 | $68.94 | |
United
| Professional | $45.67 | $58.10 | $99.44 | |
University Health Alliance
| Professional | $44.46 | $44.46 | $53.99 |