| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.32 | $19.72 | $28.03 | |
Cigna
| Professional | $21.66 | $26.20 | $26.55 | |
HMSA
| Professional | $26.70 | $27.96 | $28.66 | |
Kaiser Permanente
| Professional | $23.36 | $25.49 | $29.74 | |
United
| Professional | $21.66 | $26.55 | $35.15 | |
University Health Alliance
| Professional | $15.95 | $19.36 | $24.78 |