| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.26 | $14.26 | $26.66 | |
Cigna
| Professional | $14.73 | $39.71 | $39.71 | |
HMSA
| Professional | $36.10 | $37.79 | $37.79 | |
Kaiser Permanente
| Professional | $50.54 | $50.54 | $50.54 | |
United
| Professional | $15.31 | $39.71 | $84.60 | |
University Health Alliance
| Professional | $14.83 | $30.29 | $46.57 |