| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.11 | $24.77 | $98.00 | |
Cigna
| Professional | $17.68 | $25.85 | $36.22 | |
HMSA
| Professional | $32.40 | $37.19 | $44.40 | |
Kaiser Permanente
| Professional | $21.09 | $24.82 | $28.95 | |
United
| Professional | $21.09 | $25.85 | $62.48 | |
University Health Alliance
| Professional | $19.02 | $26.12 | $46.52 |