| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.71 | $17.64 | $55.08 | |
Aetna
| Professional | $19.61 | $20.62 | $108.00 | |
Cigna
| Professional | $21.40 | $21.40 | $24.52 | |
HMSA
| Professional | $22.30 | $31.47 | $41.33 | |
Kaiser Permanente
| Professional | $17.82 | $21.40 | $26.75 | |
United
| Professional | $7.49 | $21.40 | $34.61 | |
University Health Alliance
| Professional | $19.97 | $32.84 | $44.86 |