| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.47 | $22.07 | $28.32 | |
Cigna
| Professional | $12.96 | $28.32 | $28.32 | |
HMSA
| Professional | $26.77 | $35.29 | $41.33 | |
Kaiser Permanente
| Professional | $23.60 | $28.32 | $35.40 | |
United
| Professional | $9.91 | $28.32 | $35.40 | |
University Health Alliance
| Professional | $24.15 | $30.82 | $42.55 |