| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.32 | $28.92 | $41.10 | |
Cigna
| Professional | $29.76 | $40.60 | $49.38 | |
HMSA
| Professional | $28.97 | $33.29 | $44.98 | |
Kaiser Permanente
| Professional | $23.88 | $32.77 | $39.68 | |
United
| Professional | $33.72 | $41.34 | $52.43 | |
University Health Alliance
| Professional | $21.36 | $21.36 | $29.10 |