| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
Cigna
| Professional | $28.87 | $28.87 | $46.81 | |
HMSA
| Professional | $44.31 | $44.31 | $44.31 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $37.90 | $40.53 | $60.80 | |
University Health Alliance
| Professional | $21.85 | $26.53 | $36.72 |