| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.78 | $22.91 | $102.33 | |
Cigna
| Professional | $22.91 | $27.54 | $85.11 | |
HMSA
| Professional | $70.79 | $79.43 | $89.13 | |
Kaiser Permanente
| Professional | $17.78 | $22.39 | $26.30 | |
United
| Professional | $15.49 | $21.88 | $30.90 | |
University Health Alliance
| Professional | $16.60 | $22.39 | $25.70 |