| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.95 | $32.36 | |
Cigna
| Professional | $19.50 | $28.18 | $30.90 | |
HMSA
| Professional | $24.55 | $32.36 | $35.48 | |
Kaiser Permanente
| Professional | $13.80 | $25.70 | $32.36 | |
United
| Professional | $18.62 | $25.12 | $35.48 | |
University Health Alliance
| Professional | $13.18 | $21.88 | $33.11 |