| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.26 | $10.26 | $10.26 | |
Cigna
| Professional | $10.27 | $10.27 | $10.27 | |
HMSA
| Professional | $14.73 | $14.73 | $14.73 | |
Kaiser Permanente
| Professional | $11.30 | $12.32 | $14.38 | |
United
| Professional | $10.27 | $12.11 | $15.41 | |
University Health Alliance
| Professional | $9.81 | $12.26 | $13.02 |