| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.99 | $14.72 | $18.89 | |
Cigna
| Professional | $12.56 | $18.89 | $18.89 | |
HMSA
| Professional | $25.59 | $33.75 | $39.51 | |
Kaiser Permanente
| Professional | $15.74 | $18.89 | $23.61 | |
United
| Professional | $6.61 | $18.89 | $30.55 | |
University Health Alliance
| Professional | $17.63 | $28.59 | $39.58 |