| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.01 | $25.45 | $58.00 | |
Cigna
| Professional | $9.92 | $26.74 | $26.74 | |
HMSA
| Professional | $24.31 | $25.46 | $25.46 | |
Kaiser Permanente
| Professional | $34.03 | $34.03 | $34.03 | |
United
| Professional | $8.07 | $24.07 | $30.33 | |
University Health Alliance
| Professional | $10.00 | $20.39 | $31.36 |