| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.64 | $144.50 | $265.39 | |
Aetna
| Professional | $6.04 | $6.57 | $9.80 | |
Cigna
| Professional | $6.48 | $9.80 | $9.80 | |
HMSA
| Professional | $13.28 | $17.53 | $20.54 | |
Kaiser Permanente
| Professional | $8.17 | $9.80 | $12.26 | |
United
| Professional | $3.43 | $9.80 | $15.86 | |
University Health Alliance
| Professional | $8.17 | $14.73 | $20.56 |