| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.17 | $19.46 | $24.97 | |
Aetna
| Professional | $24.89 | $24.89 | $24.89 | |
Cigna
| Professional | $16.48 | $24.97 | $24.97 | |
HMSA
| Professional | $33.83 | $44.62 | $52.25 | |
Kaiser Permanente
| Professional | $20.81 | $24.97 | $31.22 | |
United
| Professional | $8.74 | $24.97 | $40.40 | |
University Health Alliance
| Professional | $23.31 | $37.79 | $52.33 |