| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $17.78 | $21.88 | |
Aetna
| Professional | $12.88 | $16.98 | $31.62 | |
Cigna
| Professional | $14.45 | $14.45 | $21.88 | |
HMSA
| Professional | $30.90 | $39.81 | $44.67 | |
Kaiser Permanente
| Professional | $18.20 | $21.88 | $28.18 | |
United
| Professional | $7.59 | $25.12 | $34.67 | |
University Health Alliance
| Professional | $20.42 | $32.36 | $45.71 |