| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.88 | $11.88 | $12.00 | |
Cigna
| Professional | $11.88 | $12.31 | $14.48 | |
HMSA
| Professional | $15.33 | $17.62 | $20.26 | |
Kaiser Permanente
| Professional | $13.07 | $14.26 | $16.64 | |
United
| Professional | $11.88 | $14.48 | $17.82 | |
University Health Alliance
| Professional | $12.72 | $13.21 | $15.57 |