| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.90 | $26.90 | $26.90 | |
Cigna
| Professional | $34.46 | $41.09 | $71.98 | |
HMSA
| Professional | $44.91 | $51.54 | $61.53 | |
Kaiser Permanente
| Professional | $35.47 | $38.70 | $45.15 | |
United
| Professional | $32.11 | $40.31 | $52.77 | |
University Health Alliance
| Professional | $24.10 | $29.89 | $41.36 |