| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.85 | $28.14 | $2,112.00 | |
Cigna
| Professional | $27.86 | $27.86 | $36.61 | |
HMSA
| Professional | $41.95 | $41.95 | $41.95 | |
Kaiser Permanente
| Professional | $27.86 | $33.43 | $41.79 | |
United
| Professional | $27.86 | $29.53 | $41.79 | |
University Health Alliance
| Professional | $26.59 | $37.06 | $90.70 |