| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.33 | $13.59 | $113.40 | |
Aetna
| Professional | $9.78 | $9.89 | $18.85 | |
Cigna
| Professional | $6.67 | $6.67 | $6.67 | |
HMSA
| Professional | $13.76 | $15.29 | $20.07 | |
Kaiser Permanente
| Professional | $13.73 | $16.48 | $20.60 | |
United
| Professional | $5.77 | $16.48 | $30.51 | |
University Health Alliance
| Professional | $13.73 | $50.34 | $56.44 |