| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $19.95 | $30.90 | |
Cigna
| Professional | $19.50 | $31.62 | $63.10 | |
HMSA
| Professional | $34.67 | $39.81 | $47.86 | |
Kaiser Permanente
| Professional | $16.60 | $19.95 | $25.12 | |
United
| Professional | $18.20 | $25.70 | $56.23 | |
University Health Alliance
| Professional | $14.13 | $20.42 | $38.90 |