| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $12.88 | $30.92 | |
Cigna
| Professional | $17.09 | $46.08 | $46.08 | |
HMSA
| Professional | $41.89 | $43.86 | $43.86 | |
Kaiser Permanente
| Professional | $58.65 | $58.65 | $58.65 | |
United
| Professional | $17.77 | $46.08 | $76.04 | |
University Health Alliance
| Professional | $17.21 | $35.14 | $54.04 |