| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.93 | $2.93 | $3.22 | |
Cigna
| Professional | $2.93 | $2.93 | $3.76 | |
HMSA
| Professional | $4.34 | $4.34 | $4.34 | |
Kaiser Permanente
| Professional | $2.93 | $3.51 | $4.38 | |
United
| Professional | $2.93 | $2.93 | $4.40 | |
University Health Alliance
| Professional | $3.12 | $3.85 | $4.68 |