| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.48 | $39.71 | $41.67 | |
Cigna
| Professional | $25.58 | $31.35 | $37.90 | |
HMSA
| Professional | $41.51 | $47.64 | $56.88 | |
Kaiser Permanente
| Professional | $25.58 | $30.10 | $35.11 | |
United
| Professional | $22.57 | $31.35 | $67.26 | |
University Health Alliance
| Professional | $22.39 | $30.55 | $41.02 |