| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $22.89 | $39.00 | |
Cigna
| Professional | $35.78 | $54.83 | $93.99 | |
HMSA
| Professional | $44.27 | $49.62 | $59.24 | |
Kaiser Permanente
| Professional | $48.25 | $50.44 | $54.83 | |
United
| Professional | $34.36 | $44.74 | $69.42 | |
University Health Alliance
| Professional | $32.22 | $51.55 | $250.00 |