| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.41 | $19.18 | $19.82 | |
Cigna
| Professional | $12.83 | $17.77 | $22.99 | |
HMSA
| Professional | $17.63 | $61.11 | $63.99 | |
Kaiser Permanente
| Professional | $20.23 | $20.23 | $25.75 | |
United
| Professional | $17.47 | $22.99 | $34.17 | |
University Health Alliance
| Professional | $13.58 | $22.12 | $47.26 |