| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.71 | $16.80 | $40.24 | |
Cigna
| Professional | $28.02 | $65.22 | $65.22 | |
HMSA
| Professional | $59.29 | $62.08 | $62.08 | |
Kaiser Permanente
| Professional | $83.01 | $83.01 | $83.01 | |
United
| Professional | $18.22 | $58.70 | $73.94 | |
University Health Alliance
| Professional | $40.46 | $49.39 | $56.43 |