| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.29 | $20.73 | $26.60 | |
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
Cigna
| Professional | $14.33 | $26.60 | $26.60 | |
HMSA
| Professional | $29.36 | $38.72 | $45.33 | |
Kaiser Permanente
| Professional | $22.17 | $26.60 | $33.26 | |
United
| Professional | $9.31 | $26.60 | $35.06 | |
University Health Alliance
| Professional | $24.83 | $32.59 | $46.68 |