| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.02 | $24.02 | $46.75 | |
Cigna
| Professional | $31.79 | $31.79 | $31.79 | |
HMSA
| Professional | $28.79 | $33.86 | $33.86 | |
Kaiser Permanente
| Professional | $29.14 | $31.79 | $37.09 | |
United
| Professional | $31.79 | $39.74 | $51.43 | |
University Health Alliance
| Professional | $18.54 | $26.49 | $47.74 |