| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.96 | $49.56 | $98.59 | |
Cigna
| Professional | $20.99 | $56.60 | $56.60 | |
HMSA
| Professional | $51.45 | $53.87 | $53.87 | |
Kaiser Permanente
| Professional | $72.03 | $72.03 | $72.03 | |
United
| Professional | $17.07 | $50.94 | $64.16 | |
University Health Alliance
| Professional | $21.15 | $43.15 | $66.37 |