| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.56 | $27.56 | $27.56 | |
Cigna
| Professional | $14.84 | $14.84 | $14.84 | |
HMSA
| Professional | $20.82 | $20.82 | $20.82 | |
Kaiser Permanente
| Professional | $16.32 | $17.80 | $20.78 | |
United
| Professional | $16.63 | $17.11 | $22.28 | |
University Health Alliance
| Professional | $12.98 | $16.73 | $18.39 |