| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.85 | $22.50 | $28.87 | |
Aetna
| Professional | $28.87 | $51.78 | $51.78 | |
Cigna
| Professional | $13.94 | $28.87 | $28.87 | |
HMSA
| Professional | $24.60 | $32.44 | $37.97 | |
Kaiser Permanente
| Professional | $24.06 | $28.87 | $36.09 | |
United
| Professional | $10.11 | $28.87 | $36.09 | |
University Health Alliance
| Professional | $22.21 | $28.39 | $42.11 |