| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.38 | $30.20 | $41.69 | |
Cigna
| Professional | $11.48 | $13.49 | $34.67 | |
HMSA
| Professional | $30.90 | $34.67 | $36.31 | |
Kaiser Permanente
| Professional | $22.39 | $25.70 | $38.90 | |
United
| Professional | $14.13 | $16.60 | $43.65 | |
University Health Alliance
| Professional | $23.99 | $37.15 | $42.66 |