| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.53 | $32.53 | $32.53 | |
Cigna
| Professional | $33.31 | $33.31 | $50.26 | |
HMSA
| Professional | $197.59 | $197.59 | $206.90 | |
Kaiser Permanente
| Professional | $40.95 | $44.68 | $46.54 | |
United
| Professional | $32.65 | $48.99 | $50.26 | |
University Health Alliance
| Professional | $31.12 | $31.12 | $31.12 |