| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.23 | $30.23 | $30.53 | |
Cigna
| Professional | $30.23 | $33.46 | $36.57 | |
HMSA
| Professional | $41.94 | $46.60 | $51.18 | |
Kaiser Permanente
| Professional | $33.25 | $36.28 | $42.32 | |
United
| Professional | $30.23 | $32.90 | $45.35 | |
University Health Alliance
| Professional | $30.36 | $37.07 | $39.32 |