| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $12.88 | $48.98 | |
Cigna
| Professional | $14.13 | $19.05 | $60.26 | |
HMSA
| Professional | $14.45 | $16.60 | $21.88 | |
Kaiser Permanente
| Professional | $12.02 | $16.60 | $21.38 | |
United
| Professional | $11.75 | $16.22 | $22.39 | |
University Health Alliance
| Professional | $13.49 | $17.78 | $18.62 |