| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $27.47 | $33.15 | |
Cigna
| Professional | $33.04 | $33.04 | $33.04 | |
HMSA
| Professional | $32.81 | $38.60 | $44.61 | |
Kaiser Permanente
| Professional | $29.07 | $31.72 | $37.00 | |
United
| Professional | $33.04 | $33.04 | $42.99 | |
University Health Alliance
| Professional | $24.72 | $33.83 | $54.81 |