| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.28 | $19.57 | $25.13 | |
Cigna
| Professional | $14.92 | $25.13 | $25.13 | |
HMSA
| Professional | $23.27 | $30.70 | $36.00 | |
Kaiser Permanente
| Professional | $20.94 | $25.13 | $31.41 | |
United
| Professional | $8.78 | $25.13 | $31.41 | |
University Health Alliance
| Professional | $21.02 | $26.83 | $40.69 |