| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.57 | $27.57 | $159.44 | |
Cigna
| Professional | $29.39 | $29.39 | $41.11 | |
HMSA
| Professional | $44.12 | $50.91 | $57.66 | |
Kaiser Permanente
| Professional | $36.18 | $39.47 | $46.05 | |
United
| Professional | $33.40 | $41.11 | $48.66 | |
University Health Alliance
| Professional | $5.54 | $40.89 | $166.78 |