| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.30 | $18.30 | $18.48 | |
Cigna
| Professional | $18.30 | $18.30 | $18.30 | |
HMSA
| Professional | $26.28 | $26.28 | $26.28 | |
Kaiser Permanente
| Professional | $20.13 | $21.96 | $25.62 | |
United
| Professional | $18.30 | $21.60 | $27.45 | |
University Health Alliance
| Professional | $16.95 | $21.78 | $23.22 |