| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $20.89 | $26.92 | |
HMSA
| Professional | $21.88 | $25.12 | $28.84 | |
Kaiser Permanente
| Professional | $22.91 | $24.55 | $28.84 | |
United
| Professional | $23.99 | $28.84 | $33.11 | |
University Health Alliance
| Professional | $24.55 | $31.62 | $97.72 |