| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.03 | $50.31 | $76.44 | |
Cigna
| Professional | $35.33 | $50.09 | $110.42 | |
HMSA
| Professional | $71.72 | $81.94 | $94.23 | |
Kaiser Permanente
| Professional | $44.08 | $48.08 | $217.26 | |
United
| Professional | $39.54 | $49.62 | $66.80 | |
University Health Alliance
| Professional | $37.85 | $92.93 | $808.00 |