| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.60 | $23.00 | $70.00 | |
Aetna
| Professional | 25 | $140.71 | $140.71 | $140.71 |
Cigna
| Professional | $38.44 | $38.44 | $38.44 | |
HMSA
| Professional | $22.19 | $22.30 | $27.74 | |
Kaiser Permanente
| Professional | $24.23 | $26.44 | $30.84 | |
United
| Professional | $23.24 | $26.61 | $27.54 | |
University Health Alliance
| Professional | $19.42 | $20.00 | $22.85 |