| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.17 | $22.38 | $28.57 | |
Cigna
| Professional | $21.12 | $34.24 | $35.09 | |
HMSA
| Professional | $29.63 | $34.13 | $40.35 | |
Kaiser Permanente
| Professional | $21.65 | $30.88 | $35.09 | |
United
| Professional | $28.63 | $35.09 | $43.41 | |
University Health Alliance
| Professional | $16.79 | $25.28 | $37.94 |