| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.17 | $15.18 | $85.60 | |
Cigna
| Professional | $19.38 | $52.26 | $52.26 | |
HMSA
| Professional | $47.51 | $49.75 | $49.75 | |
Kaiser Permanente
| Professional | $66.51 | $66.51 | $66.51 | |
United
| Professional | $15.78 | $47.03 | $59.25 | |
University Health Alliance
| Professional | $19.52 | $39.86 | $61.29 |