| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.14 | $20.57 | $33.01 | |
Cigna
| Professional | $36.06 | $36.06 | $36.06 | |
HMSA
| Professional | $21.05 | $26.17 | $16,033.50 | |
Kaiser Permanente
| Professional | $22.20 | $24.22 | $28.25 | |
United
| Professional | $23.65 | $25.23 | $30.66 | |
University Health Alliance
| Professional | $24.78 | $29.43 | $63.70 |