| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.22 | $56.71 | $83.41 | |
Cigna
| Professional | $50.89 | $67.69 | $125.29 | |
HMSA
| Professional | $69.48 | $79.75 | $91.71 | |
Kaiser Permanente
| Professional | $52.19 | $59.09 | $68.94 | |
United
| Professional | $46.69 | $61.45 | $99.44 | |
University Health Alliance
| Professional | $44.46 | $53.99 | $73.68 |