| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.19 | $14.44 | $19.97 | |
Cigna
| Professional | $14.78 | $17.73 | $26.01 | |
HMSA
| Professional | $17.38 | $20.00 | $23.52 | |
Kaiser Permanente
| Professional | $13.55 | $18.05 | $20.85 | |
United
| Professional | $16.75 | $20.53 | $26.45 | |
University Health Alliance
| Professional | $17.22 | $17.22 | $17.22 |