| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.93 | $21.45 | $27.53 | |
Cigna
| Professional | $18.26 | $27.53 | $27.53 | |
HMSA
| Professional | $37.32 | $49.22 | $57.59 | |
Kaiser Permanente
| Professional | $22.94 | $27.53 | $34.40 | |
United
| Professional | $9.63 | $27.53 | $44.53 | |
University Health Alliance
| Professional | $25.69 | $41.68 | $57.71 |