| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $33.88 | $39.81 | |
Cigna
| Professional | $56.23 | $56.23 | $56.23 | |
HMSA
| Professional | $56.23 | $63.10 | $66.07 | |
Kaiser Permanente
| Professional | $45.71 | $52.48 | $66.07 | |
United
| Professional | $56.23 | $56.23 | $56.23 | |
University Health Alliance
| Professional | $39.81 | $48.98 | $66.07 |