| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $66.07 | $1,000.00 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
HMSA
| Professional | $30.20 | $46.77 | $54.95 | |
Kaiser Permanente
| Professional | $28.84 | $31.62 | $36.31 | |
United
| Professional | $11.48 | $13.80 | $38.02 | |
University Health Alliance
| Professional | $28.18 | $38.90 | $85.11 |