| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.38 | $105.30 | $248.74 | |
Aetna
| Professional | $6.30 | $6.79 | $10.15 | |
Cigna
| Professional | $6.67 | $6.67 | $6.67 | |
HMSA
| Professional | $13.76 | $18.14 | $21.29 | |
Kaiser Permanente
| Professional | $8.46 | $10.15 | $12.69 | |
United
| Professional | $3.55 | $10.15 | $16.42 | |
University Health Alliance
| Professional | $12.42 | $15.38 | $21.29 |