| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.96 | $36.07 | $51.20 | |
Cigna
| Professional | $37.14 | $51.59 | $69.05 | |
HMSA
| Professional | $48.85 | $52.43 | $55.41 | |
Kaiser Permanente
| Professional | $24.24 | $37.14 | $49.52 | |
United
| Professional | $42.10 | $53.66 | $67.17 | |
University Health Alliance
| Professional | $27.52 | $30.14 | $49.09 |