| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.51 | $26.51 | $36.40 | |
Cigna
| Professional | $26.51 | $26.51 | $55.17 | |
HMSA
| Professional | $53.70 | $53.70 | $53.70 | |
Kaiser Permanente
| Professional | $26.51 | $31.81 | $39.76 | |
United
| Professional | $26.51 | $29.25 | $44.13 | |
University Health Alliance
| Professional | $33.09 | $47.45 | $49.75 |