| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.07 | $12.55 | $16.10 | |
Cigna
| Professional | $9.42 | $16.10 | $16.10 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $13.42 | $16.10 | $20.13 | |
United
| Professional | $5.64 | $16.10 | $23.27 | |
University Health Alliance
| Professional | $15.03 | $21.79 | $30.20 |