| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.05 | $15.92 | $20.44 | |
Cigna
| Professional | $20.44 | $20.44 | $23.93 | |
HMSA
| Professional | $27.46 | $32.89 | $42.76 | |
Kaiser Permanente
| Professional | $17.03 | $20.44 | $25.55 | |
United
| Professional | $7.15 | $20.44 | $33.06 | |
University Health Alliance
| Professional | $19.07 | $30.94 | $42.84 |