| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.97 | $30.97 | $54.44 | |
Cigna
| Professional | $30.08 | $81.09 | $81.09 | |
HMSA
| Professional | $73.73 | $77.20 | $77.20 | |
Kaiser Permanente
| Professional | $103.22 | $103.22 | $103.22 | |
United
| Professional | $31.27 | $81.09 | $182.30 | |
University Health Alliance
| Professional | $30.29 | $61.86 | $95.11 |