| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.87 | $22.52 | $28.91 | |
Aetna
| Professional | $17.54 | $30.66 | $33.08 | |
Cigna
| Professional | $14.33 | $28.91 | $28.91 | |
HMSA
| Professional | $31.15 | $38.72 | $45.33 | |
Kaiser Permanente
| Professional | $24.09 | $28.91 | $36.14 | |
United
| Professional | $10.11 | $28.91 | $36.14 | |
University Health Alliance
| Professional | $26.49 | $32.79 | $46.68 |