| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.78 | $10.16 | $10.40 | |
Cigna
| Professional | $4.37 | $10.40 | $10.40 | |
HMSA
| Professional | $5.13 | $5.13 | $5.13 | |
Kaiser Permanente
| Professional | $5.00 | $5.00 | $670.00 | |
United
| Professional | $4.58 | $10.19 | $15.30 | |
University Health Alliance
| Professional | $4.88 | $4.88 | $4.88 |