| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.45 | $58.87 | $104.21 | |
Cigna
| Professional | $24.06 | $79.44 | $131.41 | |
HMSA
| Professional | $63.74 | $73.16 | $84.13 | |
Kaiser Permanente
| Professional | $25.75 | $69.91 | $79.44 | |
United
| Professional | $64.81 | $79.44 | $124.97 | |
University Health Alliance
| Professional | $22.04 | $66.75 | $97.38 |