| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.40 | $13.86 | $145.50 | |
Aetna
| Professional | $12.29 | $12.41 | $17.30 | |
Cigna
| Professional | $8.25 | $8.25 | $30.87 | |
HMSA
| Professional | $22.34 | $26.28 | $31.38 | |
Kaiser Permanente
| Professional | $12.60 | $15.12 | $18.89 | |
United
| Professional | $5.29 | $15.12 | $18.89 | |
University Health Alliance
| Professional | $16.46 | $23.49 | $27.68 |