| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $15.14 | $20.89 | $54.95 | |
Cigna
| Professional | $20.42 | $27.54 | $36.31 | |
HMSA
| Professional | $19.05 | $23.44 | $93.33 | |
Kaiser Permanente
| Professional | $28.18 | $30.90 | $32.36 | |
United
| Professional | $22.91 | $30.90 | $70.79 | |
University Health Alliance
| Professional | $14.13 | $28.84 | $43.65 |