| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.53 | $26.35 | $70.40 | |
HMSA
| Professional | $20.80 | $25.07 | $27.74 | |
Kaiser Permanente
| Professional | $20.97 | $22.87 | $26.68 | |
United
| Professional | $23.83 | $28.58 | $33.14 | |
University Health Alliance
| Professional | $24.60 | $31.78 | $97.77 |