| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.26 | $12.26 | $24.86 | |
Cigna
| Professional | $13.74 | $37.04 | $37.04 | |
HMSA
| Professional | $33.68 | $35.27 | $35.27 | |
Kaiser Permanente
| Professional | $47.15 | $47.15 | $47.15 | |
United
| Professional | $14.28 | $37.04 | $72.01 | |
University Health Alliance
| Professional | $13.83 | $28.25 | $43.45 |