| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.83 | $21.58 | $309.43 | |
Aetna
| Professional | $15.66 | $16.29 | $17.98 | |
Cigna
| Professional | $14.33 | $21.58 | $21.58 | |
HMSA
| Professional | $29.26 | $38.60 | $42.94 | |
Kaiser Permanente
| Professional | $17.98 | $21.58 | $25.17 | |
United
| Professional | $7.55 | $21.58 | $34.90 | |
University Health Alliance
| Professional | $20.14 | $32.64 | $45.20 |