| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.17 | $26.98 | $116.00 | |
Cigna
| Professional | $21.03 | $29.60 | $42.16 | |
HMSA
| Professional | $29.34 | $33.69 | $40.21 | |
Kaiser Permanente
| Professional | $25.49 | $29.99 | $34.99 | |
United
| Professional | $25.49 | $31.24 | $59.00 | |
University Health Alliance
| Professional | $21.71 | $29.95 | $54.48 |