| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.62 | $3.77 | $53.00 | |
Cigna
| Professional | $3.63 | $3.63 | $3.63 | |
HMSA
| Professional | $12.99 | $12.99 | $12.99 | |
Kaiser Permanente
| Professional | $4.00 | $4.36 | $5.09 | |
United
| Professional | $3.63 | $5.45 | $10.68 | |
University Health Alliance
| Professional | $10.77 | $11.48 | $13.72 |