| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $12.57 | $30.09 | |
Cigna
| Professional | $20.95 | $48.76 | $48.76 | |
HMSA
| Professional | $44.33 | $46.42 | $46.42 | |
Kaiser Permanente
| Professional | $62.06 | $62.06 | $62.06 | |
United
| Professional | $13.63 | $43.89 | $55.29 | |
University Health Alliance
| Professional | $30.25 | $35.71 | $42.19 |