| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.82 | $60.66 | $60.66 | |
Cigna
| Professional | $64.56 | $74.56 | $84.30 | |
HMSA
| Professional | $78.63 | $78.63 | $78.63 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $63.91 | $73.09 | $109.64 | |
University Health Alliance
| Professional | $45.19 | $64.56 | $75.92 |