| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.70 | $13.26 | $17.02 | |
Cigna
| Professional | $10.99 | $17.02 | $17.02 | |
HMSA
| Professional | $22.53 | $29.71 | $34.82 | |
Kaiser Permanente
| Professional | $14.18 | $17.02 | $21.27 | |
United
| Professional | $5.96 | $17.02 | $26.92 | |
University Health Alliance
| Professional | $15.88 | $24.99 | $34.86 |