| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.21 | $49.11 | $73.43 | |
Cigna
| Professional | $54.17 | $75.23 | $129.00 | |
HMSA
| Professional | $93.04 | $93.04 | $93.04 | |
Kaiser Permanente
| Professional | $40.47 | $60.19 | $72.23 | |
United
| Professional | $61.39 | $80.48 | $99.98 | |
University Health Alliance
| Professional | $54.49 | $54.49 | $54.49 |