| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.75 | $52.75 | $53.28 | |
Cigna
| Professional | $49.42 | $52.75 | $58.14 | |
HMSA
| Professional | $63.67 | $70.73 | $81.34 | |
Kaiser Permanente
| Professional | $58.03 | $63.30 | $73.84 | |
United
| Professional | $49.42 | $52.75 | $79.13 | |
University Health Alliance
| Professional | $44.31 | $52.74 | $62.50 |