| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.42 | $20.42 | $41.69 | |
Cigna
| Professional | $15.14 | $15.14 | $30.20 | |
HMSA
| Professional | $26.92 | $30.20 | $31.62 | |
Kaiser Permanente
| Professional | $28.18 | $30.20 | $35.48 | |
United
| Professional | $17.78 | $30.20 | $41.69 | |
University Health Alliance
| Professional | $28.18 | $38.90 | $54.95 |