| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.67 | $61.69 | $105.00 | |
Cigna
| Professional | $32.76 | $32.76 | $32.76 | |
HMSA
| Professional | $31.46 | $31.46 | $31.46 | |
Kaiser Permanente
| Professional | $34.84 | $38.01 | $44.34 | |
United
| Professional | $34.95 | $36.92 | $43.89 | |
University Health Alliance
| Professional | $23.52 | $29.40 | $30.71 |