| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.67 | $18.89 | $24.24 | |
Cigna
| Professional | $16.10 | $24.24 | $24.24 | |
HMSA
| Professional | $17.98 | $21.15 | $23.58 | |
Kaiser Permanente
| Professional | $20.20 | $24.24 | $30.30 | |
United
| Professional | $8.48 | $24.24 | $30.30 | |
University Health Alliance
| Professional | $13.78 | $19.67 | $29.94 |