| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.48 | $17.48 | $62.00 | |
Cigna
| Professional | $10.49 | $28.29 | $28.29 | |
HMSA
| Professional | $25.72 | $26.93 | $26.93 | |
Kaiser Permanente
| Professional | $36.01 | $36.01 | $36.01 | |
United
| Professional | $8.53 | $25.46 | $32.09 | |
University Health Alliance
| Professional | $10.58 | $21.58 | $33.18 |