| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.27 | $22.96 | $30.30 | |
Cigna
| Professional | $21.82 | $21.82 | $21.82 | |
HMSA
| Professional | $20.91 | $20.91 | $20.91 | |
Kaiser Permanente
| Professional | $24.28 | $26.48 | $30.90 | |
United
| Professional | $23.98 | $26.23 | $29.58 | |
University Health Alliance
| Professional | $10.00 | $17.51 | $27.75 |