| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.63 | $4.15 | $9.94 | |
Cigna
| Professional | $6.93 | $16.05 | $16.05 | |
HMSA
| Professional | $14.60 | $15.29 | $15.29 | |
Kaiser Permanente
| Professional | $20.44 | $20.44 | $20.44 | |
United
| Professional | $4.50 | $14.45 | $18.23 | |
University Health Alliance
| Professional | $9.99 | $11.77 | $13.90 |