| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $30.50 | $51.31 | |
HMSA
| Professional | $22.30 | $22.30 | $27.88 | |
Kaiser Permanente
| Professional | $38.94 | $42.48 | $49.56 | |
United
| Professional | $13.50 | $23.24 | $26.11 | |
University Health Alliance
| Professional | $6.00 | $6.00 | $8.00 |