| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.01 | $66.42 | $66.77 | |
Cigna
| Professional | $33.32 | $33.32 | $83.45 | |
HMSA
| Professional | $75.86 | $79.43 | $79.43 | |
Kaiser Permanente
| Professional | $106.20 | $106.20 | $106.20 | |
United
| Professional | $23.09 | $70.93 | $83.45 | |
University Health Alliance
| Professional | $63.20 | $66.42 | $72.20 |