| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.52 | $13.95 | $30.00 | |
Cigna
| Professional | $6.20 | $16.72 | $16.72 | |
HMSA
| Professional | $15.20 | $15.92 | $15.92 | |
Kaiser Permanente
| Professional | $21.28 | $21.28 | $21.28 | |
United
| Professional | $7.57 | $16.72 | $18.93 | |
University Health Alliance
| Professional | $6.24 | $12.73 | $19.61 |