| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.73 | $4.47 | $55.44 | |
Aetna
| Professional | $5.22 | $5.22 | $6.20 | |
Cigna
| Professional | $3.53 | $5.42 | $5.42 | |
HMSA
| Professional | $7.35 | $9.69 | $11.36 | |
Kaiser Permanente
| Professional | $4.51 | $5.42 | $6.78 | |
United
| Professional | $1.90 | $5.42 | $8.77 | |
University Health Alliance
| Professional | $5.05 | $8.19 | $11.36 |