| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.73 | $11.73 | $11.73 | |
Cigna
| Facility | $20.58 | $20.58 | $20.58 | |
Cigna
| Professional | $15.93 | $16.96 | $28.49 | |
HMSA
| Professional | $25.90 | $27.12 | $27.12 | |
Kaiser Permanente
| Professional | $18.13 | $25.90 | $36.26 | |
United
| Professional | $14.60 | $20.58 | $28.49 | |
University Health Alliance
| Professional | $20.87 | $21.58 | $24.65 |