| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.45 | $32.34 | $7,200.00 | |
Cigna
| Professional | $19.98 | $19.98 | $19.98 | |
HMSA
| Professional | $16.86 | $16.86 | $16.86 | |
Kaiser Permanente
| Professional | $21.99 | $23.99 | $27.99 | |
United
| Professional | $13.86 | $40.09 | $60.14 | |
University Health Alliance
| Professional | $13.62 | $15.91 | $64.98 |