| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.50 | $61.91 | $132.16 | |
Cigna
| Professional | $18.14 | $18.14 | $18.14 | |
HMSA
| Professional | $5.55 | $6.27 | $11.10 | |
Kaiser Permanente
| Professional | $9.47 | $10.33 | $12.05 | |
United
| Professional | $10.76 | $16.75 | $20.91 | |
University Health Alliance
| Professional | $11.80 | $11.80 | $13.88 |