| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.61 | $15.40 | $20.43 | |
Cigna
| Professional | $13.99 | $17.89 | $22.38 | |
HMSA
| Professional | $18.89 | $21.22 | $24.40 | |
Kaiser Permanente
| Professional | $17.68 | $19.28 | $22.50 | |
United
| Professional | $14.52 | $20.09 | $25.11 | |
University Health Alliance
| Professional | $14.35 | $16.88 | $58.00 |