| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $18.16 | $55.00 | |
Cigna
| Professional | $9.51 | $25.65 | $25.65 | |
HMSA
| Professional | $23.32 | $24.42 | $24.42 | |
Kaiser Permanente
| Professional | $32.65 | $32.65 | $32.65 | |
United
| Professional | $7.74 | $21.80 | $29.07 | |
University Health Alliance
| Professional | $9.58 | $19.55 | $30.08 |