| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.34 | $16.76 | $22.14 | |
Cigna
| Professional | $20.07 | $24.08 | $38.13 | |
HMSA
| Professional | $25.00 | $31.56 | $32.46 | |
Kaiser Permanente
| Professional | $18.39 | $24.53 | $28.51 | |
United
| Professional | $22.09 | $24.31 | $37.83 | |
University Health Alliance
| Professional | $20.30 | $27.94 | $34.90 |