| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.46 | $37.47 | $337.50 | |
Cigna
| Professional | $26.29 | $41.13 | $69.68 | |
HMSA
| Professional | $37.93 | $42.61 | $49.00 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $30.87 | $43.76 | $58.16 | |
University Health Alliance
| Professional | $29.44 | $39.49 | $51.96 |