| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $35.00 | $88.56 | |
Cigna
| Professional | $18.14 | $18.14 | $18.14 | |
HMSA
| Professional | $11.09 | $12.53 | $16.53 | |
Kaiser Permanente
| Professional | $16.98 | $18.53 | $21.62 | |
United
| Professional | $13.30 | $19.30 | $20.91 | |
University Health Alliance
| Professional | $11.80 | $11.80 | $13.88 |