| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.83 | $41.74 | $63.63 | |
Cigna
| Professional | $48.47 | $58.17 | $86.49 | |
HMSA
| Professional | $49.01 | $52.61 | $69.30 | |
Kaiser Permanente
| Professional | $24.81 | $44.43 | $64.63 | |
United
| Professional | $54.94 | $67.33 | $84.09 | |
University Health Alliance
| Professional | $27.62 | $45.77 | $62.47 |