| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $28.18 | $194.98 | |
Cigna
| Professional | $38.90 | $38.90 | $38.90 | |
HMSA
| Professional | $30.20 | $37.15 | $40.74 | |
Kaiser Permanente
| Professional | $25.70 | $28.18 | $32.36 | |
United
| Professional | $26.30 | $30.20 | $36.31 | |
University Health Alliance
| Professional | $23.44 | $32.36 | $208.93 |