| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.59 | $31.10 | $92.00 | |
Cigna
| Professional | $27.78 | $27.78 | $27.78 | |
HMSA
| Professional | $28.85 | $31.74 | $39.68 | |
Kaiser Permanente
| Professional | $14.04 | $15.31 | $17.86 | |
United
| Professional | $15.95 | $22.59 | $23.65 | |
University Health Alliance
| Professional | $16.47 | $20.05 | $188.34 |