| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $41.69 | $52.48 | |
Cigna
| Professional | $17.38 | $19.95 | $42.66 | |
HMSA
| Professional | $10.00 | $11.75 | $54.95 | |
Kaiser Permanente
| Professional | $37.15 | $40.74 | $47.86 | |
Kaiser Permanente
| Professional | 26 | $28.84 | $30.90 | $36.31 |
United
| Professional | $20.42 | $23.99 | $56.23 | |
University Health Alliance
| Professional | $30.90 | $46.77 | $79.43 |