| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.60 | $19.95 | $23.99 | |
Aetna
| Professional | $15.14 | $18.20 | $19.05 | |
Cigna
| Professional | $16.22 | $16.22 | $23.99 | |
HMSA
| Professional | $20.42 | $25.12 | $27.54 | |
Kaiser Permanente
| Professional | $20.42 | $23.99 | $30.20 | |
United
| Professional | $8.51 | $23.99 | $30.20 | |
University Health Alliance
| Professional | $13.80 | $19.50 | $31.62 |