| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.03 | $37.61 | $150.44 | |
Aetna
| Professional | 52 | $9.14 | $19.86 | $19.86 |
Cigna
| Professional | $16.94 | $24.85 | $33.83 | |
HMSA
| Professional | $57.97 | $66.70 | $87.39 | |
Kaiser Permanente
| Professional | $20.28 | $23.86 | $27.83 | |
United
| Professional | $20.28 | $24.85 | $60.02 | |
University Health Alliance
| Professional | $21.47 | $37.53 | $75.97 |