| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.22 | $20.22 | $20.22 | |
Cigna
| Professional | $10.95 | $10.95 | $10.95 | |
HMSA
| Professional | $15.07 | $15.07 | $15.07 | |
Kaiser Permanente
| Professional | $12.05 | $13.14 | $15.33 | |
United
| Professional | $10.95 | $12.38 | $16.43 | |
University Health Alliance
| Professional | $10.10 | $12.49 | $13.31 |