| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $25.12 | |
Cigna
| Professional | $14.79 | $18.62 | $25.70 | |
HMSA
| Professional | $26.30 | $30.20 | $34.67 | |
Kaiser Permanente
| Professional | $15.85 | $21.88 | $26.30 | |
United
| Professional | $14.13 | $21.38 | $28.84 | |
University Health Alliance
| Professional | $15.85 | $19.05 | $34.67 |