| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.95 | $21.48 | $27.56 | |
Cigna
| Professional | $13.74 | $27.56 | $27.56 | |
HMSA
| Professional | $27.99 | $36.92 | $43.20 | |
Kaiser Permanente
| Professional | $22.97 | $27.56 | $34.46 | |
United
| Professional | $9.65 | $27.56 | $34.46 | |
University Health Alliance
| Professional | $25.25 | $31.69 | $44.49 |