| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.87 | $33.35 | $62.34 | |
Cigna
| Professional | $36.31 | $40.01 | $50.20 | |
HMSA
| Professional | $45.66 | $51.60 | $58.78 | |
Kaiser Permanente
| Professional | $44.18 | $48.19 | $52.21 | |
United
| Professional | $39.11 | $50.20 | $61.10 | |
University Health Alliance
| Professional | $39.67 | $39.67 | $39.67 |