| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.70 | $70.64 | $77.34 | |
Aetna
| Professional | 25 | $72.31 | $72.31 | $76.20 |
Cigna
| Professional | $145.28 | $145.28 | $176.40 | |
HMSA
| Professional | $84.37 | $88.35 | $108.61 | |
Kaiser Permanente
| Professional | $74.72 | $89.66 | $93.40 | |
United
| Professional | $74.89 | $93.40 | $109.94 | |
University Health Alliance
| Professional | $50.34 | $61.13 | $83.43 |