| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.08 | $6.95 | $16.64 | |
Cigna
| Professional | $11.59 | $26.94 | $26.94 | |
HMSA
| Professional | $24.49 | $25.64 | $25.64 | |
Kaiser Permanente
| Professional | $34.29 | $34.29 | $34.29 | |
United
| Professional | $9.63 | $26.94 | $30.54 | |
University Health Alliance
| Professional | $16.72 | $20.39 | $23.31 |