| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.86 | $15.71 | $20.16 | |
Cigna
| Professional | $9.82 | $20.16 | $20.16 | |
HMSA
| Professional | $20.30 | $26.79 | $31.31 | |
Kaiser Permanente
| Professional | $16.80 | $20.16 | $25.20 | |
United
| Professional | $7.06 | $20.16 | $25.20 | |
University Health Alliance
| Professional | $18.30 | $22.97 | $36.31 |