| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.75 | $33.75 | $33.75 | |
Cigna
| Professional | $30.51 | $37.39 | $61.40 | |
HMSA
| Professional | $12.06 | $36.74 | $46.16 | |
Kaiser Permanente
| Professional | $45.02 | $49.12 | $57.30 | |
United
| Professional | $19.30 | $42.88 | $59.13 | |
University Health Alliance
| Professional | $28.69 | $40.99 | $59.90 |