| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.91 | $30.00 | $30.72 | |
Cigna
| Professional | $11.43 | $30.72 | $30.72 | |
HMSA
| Professional | $9.61 | $9.61 | $9.61 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $28.50 | $30.00 | $45.00 | |
University Health Alliance
| Professional | $4.92 | $5.98 | $8.26 |