| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $23.99 | $34.67 | |
Cigna
| Professional | $18.20 | $20.89 | $39.81 | |
HMSA
| Professional | $28.18 | $30.90 | $35.48 | |
Kaiser Permanente
| Professional | $21.88 | $29.51 | $38.02 | |
United
| Professional | $18.20 | $24.55 | $33.88 | |
University Health Alliance
| Professional | $19.05 | $19.05 | $21.88 |