| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.72 | $8.75 | $11.23 | |
Cigna
| Professional | $5.30 | $11.23 | $11.23 | |
HMSA
| Professional | $10.79 | $14.24 | $16.63 | |
Kaiser Permanente
| Professional | $9.36 | $11.23 | $14.04 | |
United
| Professional | $3.93 | $11.23 | $14.04 | |
University Health Alliance
| Professional | $9.72 | $12.41 | $17.13 |