| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.28 | $60.84 | $151.04 | |
Cigna
| Professional | $38.44 | $38.44 | $38.44 | |
HMSA
| Professional | $22.19 | $24.50 | $28.91 | |
Kaiser Permanente
| Professional | $26.52 | $28.93 | $33.75 | |
United
| Professional | $23.24 | $30.14 | $33.50 | |
University Health Alliance
| Professional | $19.42 | $19.42 | $22.85 |