| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.55 | $52.30 | $7,084.80 | |
Cigna
| Professional | $35.38 | $47.55 | $47.55 | |
HMSA
| Professional | $50.65 | $50.65 | $50.65 | |
Kaiser Permanente
| Professional | $47.55 | $57.06 | $71.31 | |
United
| Professional | $37.46 | $47.55 | $71.33 | |
University Health Alliance
| Professional | $24.33 | $43.28 | $117.87 |