| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.90 | $46.20 | $462.00 | |
Cigna
| Professional | $28.14 | $36.19 | $66.98 | |
HMSA
| Professional | $38.14 | $43.77 | $51.60 | |
Kaiser Permanente
| Professional | $28.83 | $33.90 | $39.56 | |
United
| Professional | $27.25 | $35.33 | $50.69 | |
University Health Alliance
| Professional | $27.90 | $69.86 | $216.55 |