| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.57 | $106.00 | $348.00 | |
Cigna
| Professional | $39.17 | $39.17 | $39.17 | |
HMSA
| Professional | $28.85 | $32.60 | $39.68 | |
Kaiser Permanente
| Professional | $23.36 | $25.49 | $29.74 | |
United
| Professional | $26.55 | $30.54 | $36.17 | |
University Health Alliance
| Professional | $23.65 | $31.79 | $211.30 |