| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.35 | $9.35 | $18.44 | |
Cigna
| Professional | $10.19 | $27.48 | $27.48 | |
HMSA
| Professional | $24.98 | $26.16 | $26.16 | |
Kaiser Permanente
| Professional | $34.97 | $34.97 | $34.97 | |
United
| Professional | $10.59 | $27.48 | $55.39 | |
University Health Alliance
| Professional | $10.26 | $20.96 | $32.22 |