| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.12 | $37.21 | $97.28 | |
Cigna
| Professional | $43.78 | $58.04 | $79.73 | |
HMSA
| Professional | $71.70 | $71.70 | $281.12 | |
Kaiser Permanente
| Professional | $27.86 | $43.78 | $58.37 | |
United
| Professional | $49.61 | $60.80 | $63.00 | |
University Health Alliance
| Professional | $43.65 | $43.65 | $43.65 |