| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.30 | $21.65 | $33.61 | |
Cigna
| Professional | $22.80 | $33.43 | $40.96 | |
HMSA
| Professional | $32.19 | $33.71 | $33.71 | |
Kaiser Permanente
| Professional | $26.82 | $36.04 | $40.96 | |
United
| Professional | $29.49 | $35.39 | $41.66 | |
University Health Alliance
| Professional | $27.74 | $27.74 | $27.74 |