| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.91 | $16.78 | $19.27 | |
Cigna
| Professional | $8.90 | $10.91 | $13.10 | |
HMSA
| Professional | $57.97 | $66.70 | $87.39 | |
Kaiser Permanente
| Professional | $8.90 | $10.48 | $12.22 | |
United
| Professional | $8.57 | $10.91 | $45.25 | |
University Health Alliance
| Professional | $8.27 | $12.07 | $56.11 |