| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.46 | $8.52 | $20.42 | |
Cigna
| Professional | $14.22 | $33.03 | $33.03 | |
HMSA
| Professional | $30.03 | $31.45 | $31.45 | |
Kaiser Permanente
| Professional | $42.04 | $42.04 | $42.04 | |
United
| Professional | $9.24 | $28.08 | $37.46 | |
University Health Alliance
| Professional | $20.51 | $24.19 | $28.59 |