| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.32 | $41.63 | $7,920.00 | |
Cigna
| Professional | $30.32 | $30.32 | $30.32 | |
HMSA
| Professional | $130.86 | $130.86 | $130.86 | |
Kaiser Permanente
| Professional | $33.36 | $36.39 | $42.45 | |
United
| Professional | $29.65 | $33.75 | $45.48 | |
University Health Alliance
| Professional | $27.99 | $116.02 | $387.35 |