| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.12 | $36.03 | $139.00 | |
Cigna
| Professional | $20.30 | $27.64 | $49.03 | |
HMSA
| Professional | $46.07 | $53.01 | $69.44 | |
Kaiser Permanente
| Professional | $22.55 | $26.53 | $30.95 | |
United
| Professional | $22.55 | $27.64 | $60.02 | |
University Health Alliance
| Professional | $23.88 | $33.69 | $61.50 |