| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $14.13 | $21.88 | |
Cigna
| Professional | $7.76 | $14.13 | $27.54 | |
HMSA
| Professional | $13.18 | $15.14 | $20.42 | |
Kaiser Permanente
| Professional | $676.08 | $676.08 | $676.08 | |
United
| Professional | $4.90 | $8.71 | $15.85 | |
University Health Alliance
| Professional | $33.88 | $56.23 | $67.61 |