| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.55 | $45.00 | $46.75 | |
Cigna
| Professional | $24.31 | $24.31 | $24.31 | |
HMSA
| Professional | $26.70 | $44.97 | $52.90 | |
Kaiser Permanente
| Professional | $22.29 | $24.31 | $28.36 | |
United
| Professional | $24.31 | $30.39 | $39.33 | |
University Health Alliance
| Professional | $22.69 | $36.52 | $50.96 |