| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.15 | $48.92 | $50.10 | |
Cigna
| Professional | $52.07 | $52.07 | $60.14 | |
HMSA
| Professional | $57.86 | $57.86 | $57.86 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $51.55 | $58.94 | $88.41 | |
University Health Alliance
| Professional | $59.94 | $62.44 | $62.60 |