| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.59 | $36.11 | $72.34 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
HMSA
| Professional | $69.00 | $72.25 | $72.25 | |
Kaiser Permanente
| Professional | $670.00 | $670.00 | $670.00 | |
United
| Professional | $67.39 | $79.29 | $79.29 | |
University Health Alliance
| Professional | $74.00 | $74.00 | $81.40 |