| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.17 | $93.25 | $110.06 | |
Cigna
| Professional | $24.95 | $67.25 | $67.25 | |
HMSA
| Professional | $61.14 | $64.02 | $64.02 | |
Kaiser Permanente
| Professional | $85.60 | $85.60 | $85.60 | |
United
| Professional | $25.93 | $67.25 | $203.46 | |
University Health Alliance
| Professional | $25.12 | $51.30 | $78.87 |