| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.89 | $15.75 | $20.21 | |
Cigna
| Professional | $13.35 | $20.21 | $20.21 | |
HMSA
| Professional | $27.38 | $36.11 | $42.27 | |
Kaiser Permanente
| Professional | $16.84 | $20.21 | $25.26 | |
United
| Professional | $7.07 | $20.21 | $32.68 | |
University Health Alliance
| Professional | $14.31 | $30.31 | $42.34 |