| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.33 | $40.75 | $68.22 | |
Cigna
| Professional | $41.96 | $76.56 | $93.83 | |
HMSA
| Professional | $238.95 | $268.47 | $281.12 | |
Kaiser Permanente
| Professional | $39.85 | $67.55 | $90.07 | |
United
| Professional | $59.62 | $72.23 | $93.83 | |
University Health Alliance
| Professional | $63.72 | $85.45 | $86.95 |