| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.97 | $58.52 | $206.78 | |
Cigna
| Professional | $48.80 | $48.80 | $77.63 | |
HMSA
| Professional | $53.07 | $59.63 | $68.56 | |
Kaiser Permanente
| Professional | $61.44 | $67.02 | $78.19 | |
United
| Professional | $45.82 | $70.54 | $93.07 | |
University Health Alliance
| Professional | $43.41 | $50.26 | $91.00 |