| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.88 | $14.56 | $17.44 | |
Cigna
| Professional | $9.63 | $25.97 | $25.97 | |
HMSA
| Professional | $23.61 | $24.72 | $24.72 | |
Kaiser Permanente
| Professional | $33.04 | $33.04 | $33.04 | |
United
| Professional | $10.01 | $25.97 | $85.61 | |
University Health Alliance
| Professional | $9.69 | $19.82 | $30.46 |