| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.71 | $1.71 | $1.71 | |
Cigna
| Professional | $1.71 | $1.71 | $2.15 | |
HMSA
| Professional | $2.61 | $2.61 | $2.61 | |
Kaiser Permanente
| Professional | $1.71 | $2.04 | $2.40 | |
United
| Professional | $1.71 | $2.15 | $2.57 | |
University Health Alliance
| Professional | $1.81 | $1.81 | $1.81 |