| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $38.02 | $234.42 | |
Cigna
| Professional | $28.18 | $44.67 | $51.29 | |
HMSA
| Professional | $58.88 | $61.66 | $70.79 | |
Kaiser Permanente
| Professional | $16.60 | $36.31 | $51.29 | |
United
| Professional | $25.12 | $41.69 | $61.66 | |
University Health Alliance
| Professional | $16.22 | $21.88 | $50.12 |