| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.96 | $18.09 | $23.22 | |
Cigna
| Professional | $15.31 | $23.22 | $23.22 | |
HMSA
| Professional | $31.47 | $41.52 | $48.60 | |
Kaiser Permanente
| Professional | $19.35 | $23.22 | $29.03 | |
United
| Professional | $8.13 | $23.22 | $37.58 | |
University Health Alliance
| Professional | $21.67 | $35.17 | $48.69 |