| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.47 | $12.59 | $17.38 | |
Aetna
| Professional | $7.94 | $10.23 | $12.02 | |
Cigna
| Professional | $8.32 | $8.32 | $30.90 | |
HMSA
| Professional | $25.12 | $29.51 | $31.62 | |
Kaiser Permanente
| Professional | $12.59 | $15.14 | $19.05 | |
United
| Professional | $5.25 | $14.79 | $19.05 | |
University Health Alliance
| Professional | $16.60 | $23.44 | $27.54 |