| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.07 | $21.63 | $27.76 | |
Cigna
| Professional | $27.42 | $27.76 | $27.76 | |
HMSA
| Professional | $23.84 | $43.18 | $56.15 | |
Kaiser Permanente
| Professional | $23.13 | $27.76 | $34.70 | |
United
| Professional | $9.71 | $27.76 | $43.42 | |
University Health Alliance
| Professional | $25.91 | $40.61 | $56.23 |