| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.28 | $41.91 | $7,650.00 | |
Cigna
| Professional | $40.29 | $40.29 | $62.21 | |
HMSA
| Professional | $75.69 | $75.69 | $75.69 | |
Kaiser Permanente
| Professional | $40.29 | $48.35 | $60.44 | |
United
| Professional | $40.29 | $42.71 | $62.21 | |
University Health Alliance
| Professional | $42.60 | $46.82 | $66.87 |