| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.60 | $41.34 | $91.88 | |
Cigna
| Professional | $31.35 | $47.24 | $65.62 | |
HMSA
| Professional | $33.75 | $39.70 | $52.38 | |
Kaiser Permanente
| Professional | $32.32 | $44.07 | $56.74 | |
United
| Professional | $36.27 | $50.66 | $66.54 | |
University Health Alliance
| Professional | $36.74 | $36.74 | $50.14 |