| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $10.18 | $24.37 | |
Cigna
| Professional | $13.56 | $39.46 | $39.46 | |
HMSA
| Professional | $35.86 | $37.56 | $37.56 | |
Kaiser Permanente
| Professional | $50.22 | $50.22 | $50.22 | |
United
| Professional | $11.03 | $35.51 | $44.75 | |
University Health Alliance
| Professional | $24.49 | $29.89 | $34.14 |