| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $20.89 | $33.11 | |
Cigna
| Professional | $38.02 | $38.02 | $38.02 | |
HMSA
| Professional | $22.39 | $24.55 | $30.90 | |
Kaiser Permanente
| Professional | $26.30 | $28.84 | $33.88 | |
United
| Professional | $23.44 | $26.92 | $27.54 | |
University Health Alliance
| Professional | $19.50 | $19.95 | $22.91 |