| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.12 | $49.75 | $75.51 | |
Cigna
| Professional | $37.24 | $65.81 | $88.32 | |
HMSA
| Professional | $92.87 | $92.87 | $281.12 | |
Kaiser Permanente
| Professional | $40.47 | $61.31 | $76.25 | |
United
| Professional | $57.19 | $66.54 | $79.43 | |
University Health Alliance
| Professional | $57.32 | $57.32 | $78.23 |