| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.52 | $123.07 | $154.12 | |
Aetna
| Professional | $8.02 | $9.93 | $23.45 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
HMSA
| Professional | $21.77 | $28.71 | $47.33 | |
Kaiser Permanente
| Professional | $13.39 | $16.07 | $20.09 | |
United
| Professional | $5.62 | $16.07 | $25.99 | |
University Health Alliance
| Professional | $13.39 | $20.59 | $26.61 |