| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.19 | $11.66 | $27.91 | |
Cigna
| Professional | $19.44 | $45.19 | $45.19 | |
HMSA
| Professional | $41.08 | $43.02 | $43.02 | |
Kaiser Permanente
| Professional | $57.51 | $57.51 | $57.51 | |
United
| Professional | $12.64 | $40.67 | $51.23 | |
University Health Alliance
| Professional | $28.04 | $34.22 | $39.10 |