| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.32 | $22.32 | $22.32 | |
Cigna
| Professional | $12.14 | $12.14 | $12.14 | |
HMSA
| Professional | $17.80 | $17.80 | $17.80 | |
Kaiser Permanente
| Professional | $13.36 | $14.57 | $17.00 | |
United
| Professional | $12.14 | $14.63 | $18.21 | |
University Health Alliance
| Professional | $11.21 | $14.06 | $15.73 |