| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.54 | $28.49 | $42.40 | |
Cigna
| Professional | $30.82 | $37.34 | $51.61 | |
HMSA
| Professional | $37.21 | $42.79 | $49.81 | |
Kaiser Permanente
| Professional | $28.10 | $38.03 | $43.21 | |
United
| Professional | $35.26 | $37.34 | $56.96 | |
University Health Alliance
| Professional | $37.34 | $37.34 | $37.34 |