| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.86 | $12.86 | $12.99 | |
Cigna
| Professional | $12.86 | $15.45 | $18.18 | |
HMSA
| Professional | $20.84 | $23.16 | $26.10 | |
Kaiser Permanente
| Professional | $14.15 | $15.43 | $18.01 | |
United
| Professional | $12.86 | $18.18 | $19.29 | |
University Health Alliance
| Professional | $10.86 | $11.74 | $19.54 |