| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.25 | $17.10 | $55.15 | |
Aetna
| Professional | $23.08 | $24.78 | $71.84 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
HMSA
| Professional | $19.89 | $25.26 | $30.74 | |
Kaiser Permanente
| Professional | $17.27 | $20.72 | $25.91 | |
United
| Professional | $7.25 | $20.72 | $25.91 | |
University Health Alliance
| Professional | $14.68 | $20.38 | $31.09 |