| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.96 | $21.49 | $27.58 | |
Cigna
| Professional | $13.35 | $27.58 | $27.58 | |
HMSA
| Professional | $27.42 | $36.17 | $42.33 | |
Kaiser Permanente
| Professional | $22.98 | $27.58 | $34.47 | |
United
| Professional | $9.65 | $27.58 | $34.47 | |
University Health Alliance
| Professional | $24.75 | $31.06 | $43.60 |