| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $26.45 | $46.75 | |
Cigna
| Professional | $31.93 | $31.93 | $31.93 | |
HMSA
| Professional | $28.79 | $53.14 | $62.52 | |
Kaiser Permanente
| Professional | $29.27 | $31.93 | $37.25 | |
United
| Professional | $31.93 | $95.00 | $183.21 | |
University Health Alliance
| Professional | $29.80 | $48.11 | $66.62 |