| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.93 | $16.57 | $82.00 | |
Cigna
| Professional | $13.54 | $36.50 | $36.50 | |
HMSA
| Professional | $33.18 | $34.74 | $34.74 | |
Kaiser Permanente
| Professional | $46.45 | $46.45 | $46.45 | |
United
| Professional | $11.02 | $32.85 | $41.37 | |
University Health Alliance
| Professional | $13.64 | $27.83 | $42.80 |