| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $37.15 | $43.65 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
HMSA
| Professional | $54.95 | $63.10 | $64.57 | |
Kaiser Permanente
| Professional | $50.12 | $54.95 | $70.79 | |
United
| Professional | $61.66 | $61.66 | $61.66 | |
University Health Alliance
| Professional | $39.81 | $47.86 | $64.57 |