| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.31 | $25.31 | $25.31 | |
Cigna
| Professional | $15.51 | $15.51 | $15.51 | |
HMSA
| Professional | $31.91 | $42.08 | $49.27 | |
Kaiser Permanente
| Professional | $25.57 | $30.68 | $38.36 | |
United
| Professional | $10.74 | $30.68 | $38.36 | |
University Health Alliance
| Professional | $28.78 | $30.15 | $36.72 |