| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.93 | $27.54 | $35.78 | |
Cigna
| Professional | $22.53 | $48.48 | $117.60 | |
HMSA
| Professional | $42.67 | $48.97 | $57.73 | |
Kaiser Permanente
| Professional | $45.29 | $51.28 | $59.82 | |
United
| Professional | $22.08 | $38.00 | $53.41 | |
University Health Alliance
| Professional | $28.57 | $46.15 | $74.31 |