| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $28.83 | $11,300.00 | |
Cigna
| Professional | $22.76 | $27.99 | $32.24 | |
HMSA
| Professional | $27.70 | $27.70 | $27.70 | |
Kaiser Permanente
| Professional | $27.99 | $33.59 | $41.99 | |
United
| Professional | $20.49 | $27.99 | $41.99 | |
University Health Alliance
| Professional | $24.47 | $33.20 | $74.02 |