| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $17.17 | $22.03 | |
Cigna
| Professional | $12.96 | $22.03 | $22.03 | |
HMSA
| Professional | $26.72 | $35.24 | $41.21 | |
Kaiser Permanente
| Professional | $18.36 | $22.03 | $27.54 | |
United
| Professional | $7.71 | $22.03 | $31.86 | |
University Health Alliance
| Professional | $20.56 | $29.82 | $41.31 |