| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.71 | $27.81 | $31.01 | |
Cigna
| Professional | $21.41 | $44.36 | $158.19 | |
HMSA
| Professional | $37.00 | $42.46 | $50.06 | |
Kaiser Permanente
| Professional | $37.61 | $42.59 | $49.69 | |
United
| Professional | $21.76 | $38.00 | $53.00 | |
University Health Alliance
| Professional | $26.25 | $38.33 | $69.36 |