| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.83 | $29.83 | $30.14 | |
Cigna
| Professional | $29.84 | $29.84 | $29.84 | |
HMSA
| Professional | $44.79 | $44.79 | $44.79 | |
Kaiser Permanente
| Professional | $32.83 | $35.81 | $41.78 | |
United
| Professional | $29.84 | $36.82 | $44.76 | |
University Health Alliance
| Professional | $37.11 | $60.38 | $77.89 |