| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $16.60 | $20.42 | |
Aetna
| Professional | $10.00 | $12.88 | $15.85 | |
Cigna
| Professional | $13.49 | $13.49 | $20.42 | |
HMSA
| Professional | $28.84 | $37.15 | $41.69 | |
Kaiser Permanente
| Professional | $16.98 | $20.42 | $25.12 | |
United
| Professional | $7.08 | $23.44 | $32.36 | |
University Health Alliance
| Professional | $19.05 | $30.20 | $42.66 |