| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.20 | $7.20 | $33.60 | |
Cigna
| Professional | $7.36 | $19.82 | $19.82 | |
HMSA
| Professional | $18.03 | $18.88 | $18.88 | |
Kaiser Permanente
| Professional | $25.24 | $25.24 | $25.24 | |
United
| Professional | $5.99 | $17.85 | $22.49 | |
University Health Alliance
| Professional | $7.42 | $15.12 | $23.26 |