| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $32.36 | $50.12 | |
Cigna
| Professional | $43.65 | $52.48 | $79.43 | |
HMSA
| Professional | $72.44 | $72.44 | $72.44 | |
Kaiser Permanente
| Professional | $27.54 | $47.86 | $66.07 | |
United
| Professional | $37.15 | $44.67 | $60.26 | |
University Health Alliance
| Professional | $43.65 | $43.65 | $43.65 |