| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.25 | $18.55 | $205.86 | |
Aetna
| Professional | $2.87 | $3.69 | $15.61 | |
Cigna
| Professional | $1.96 | $4.18 | $4.18 | |
HMSA
| Professional | $4.15 | $5.47 | $6.42 | |
Kaiser Permanente
| Professional | $3.48 | $4.18 | $4.87 | |
United
| Professional | $2.09 | $4.18 | $4.96 | |
University Health Alliance
| Professional | $3.48 | $4.70 | $6.60 |