| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.26 | $22.96 | $29.47 | |
Cigna
| Professional | $9.42 | $29.47 | $29.47 | |
HMSA
| Professional | $21.87 | $25.73 | $30.70 | |
Kaiser Permanente
| Professional | $24.56 | $29.47 | $36.84 | |
United
| Professional | $10.32 | $29.47 | $36.84 | |
University Health Alliance
| Professional | $18.23 | $26.31 | $40.01 |