| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.53 | $23.53 | $23.53 | |
Cigna
| Professional | $31.89 | $35.82 | $45.02 | |
HMSA
| Professional | $35.52 | $40.76 | $48.66 | |
Kaiser Permanente
| Professional | $33.32 | $36.35 | $42.41 | |
United
| Professional | $15.84 | $40.89 | $51.14 | |
University Health Alliance
| Professional | $27.77 | $46.17 | $52.60 |