| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $30.16 | $30.16 | |
Cigna
| Professional | $16.52 | $16.52 | $16.52 | |
HMSA
| Professional | $22.97 | $22.97 | $22.97 | |
Kaiser Permanente
| Professional | $18.17 | $19.82 | $23.12 | |
United
| Professional | $16.52 | $18.88 | $24.78 | |
University Health Alliance
| Professional | $15.10 | $18.88 | $20.29 |