| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.80 | $29.80 | $29.80 | |
Cigna
| Professional | $16.84 | $16.84 | $16.84 | |
HMSA
| Professional | $24.25 | $24.25 | $24.25 | |
Kaiser Permanente
| Professional | $18.53 | $20.21 | $23.58 | |
United
| Professional | $18.86 | $19.93 | $25.26 | |
University Health Alliance
| Professional | $15.06 | $18.82 | $21.43 |