| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.51 | $10.78 | $13.84 | |
Cigna
| Professional | $9.23 | $13.84 | $13.84 | |
HMSA
| Professional | $18.76 | $24.74 | $28.94 | |
Kaiser Permanente
| Professional | $11.53 | $13.84 | $17.30 | |
United
| Professional | $4.84 | $13.84 | $22.37 | |
University Health Alliance
| Professional | $12.91 | $20.77 | $28.98 |