| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.28 | $15.05 | $19.32 | |
Cigna
| Professional | $9.42 | $19.32 | $19.32 | |
HMSA
| Professional | $19.51 | $25.73 | $30.11 | |
Kaiser Permanente
| Professional | $16.10 | $19.32 | $24.15 | |
United
| Professional | $6.76 | $19.32 | $24.15 | |
University Health Alliance
| Professional | $17.60 | $21.79 | $31.01 |