| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.04 | $30.91 | $82.00 | |
Cigna
| Professional | $29.33 | $29.33 | $29.33 | |
HMSA
| Professional | $28.15 | $28.15 | $28.15 | |
Kaiser Permanente
| Professional | $32.69 | $35.65 | $41.60 | |
United
| Professional | $31.28 | $34.65 | $38.15 | |
University Health Alliance
| Professional | $25.50 | $28.87 | $30.00 |