| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.29 | $24.12 | $30.96 | |
Cigna
| Professional | $20.42 | $30.96 | $30.96 | |
HMSA
| Professional | $41.94 | $55.31 | $64.80 | |
Kaiser Permanente
| Professional | $25.80 | $30.96 | $38.70 | |
United
| Professional | $10.84 | $30.96 | $50.07 | |
University Health Alliance
| Professional | $28.90 | $46.87 | $64.89 |