| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.47 | $91.20 | $457.09 | |
Aetna
| Professional | $7.08 | $8.51 | $12.59 | |
Cigna
| Professional | $8.51 | $8.51 | $8.51 | |
HMSA
| Professional | $18.20 | $23.44 | $25.70 | |
Kaiser Permanente
| Professional | $10.47 | $12.59 | $15.85 | |
United
| Professional | $4.47 | $14.79 | $20.42 | |
University Health Alliance
| Professional | $15.49 | $19.05 | $26.30 |