| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.44 | $6.44 | $6.70 | |
Cigna
| Professional | $4.76 | $12.84 | $12.84 | |
HMSA
| Professional | $11.67 | $12.22 | $12.22 | |
Kaiser Permanente
| Professional | $16.34 | $16.34 | $16.34 | |
United
| Professional | $4.95 | $12.84 | $38.28 | |
University Health Alliance
| Professional | $6.85 | $10.22 | $15.05 |