| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.52 | $44.24 | $64.70 | |
Cigna
| Professional | $32.22 | $32.22 | $32.22 | |
HMSA
| Professional | $43.90 | $43.90 | $43.90 | |
Kaiser Permanente
| Professional | $35.44 | $38.65 | $45.11 | |
United
| Professional | $32.22 | $36.08 | $48.33 | |
University Health Alliance
| Professional | $4.26 | $25.44 | $38.79 |