| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.29 | $25.55 | $30.97 | |
Aetna
| Professional | $23.04 | $23.04 | $23.21 | |
Cigna
| Professional | $20.42 | $30.97 | $30.97 | |
HMSA
| Professional | $41.99 | $55.38 | $64.80 | |
Kaiser Permanente
| Professional | $25.81 | $30.97 | $38.72 | |
United
| Professional | $10.84 | $30.97 | $50.10 | |
University Health Alliance
| Professional | $28.91 | $46.88 | $64.91 |