| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.29 | $55.00 | $142.00 | |
Aetna
| Professional | 25 | $59.60 | $144.66 | $191.68 |
Cigna
| Professional | $40.60 | $59.90 | $81.14 | |
HMSA
| Professional | $51.32 | $57.02 | $68.31 | |
Kaiser Permanente
| Professional | $52.71 | $57.50 | $62.30 | |
United
| Professional | $39.35 | $50.08 | $61.44 | |
University Health Alliance
| Professional | $33.72 | $44.43 | $76.67 |