| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.75 | $4.75 | $9.22 | |
Cigna
| Professional | $5.09 | $13.74 | $13.74 | |
HMSA
| Professional | $12.49 | $13.08 | $13.08 | |
Kaiser Permanente
| Professional | $17.48 | $17.48 | $17.48 | |
United
| Professional | $5.30 | $13.74 | $27.70 | |
University Health Alliance
| Professional | $5.13 | $10.48 | $16.11 |