| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.63 | $4.37 | $5.25 | |
Aetna
| Professional | $2.00 | $3.98 | $5.25 | |
Cigna
| Professional | $2.51 | $2.51 | $5.25 | |
HMSA
| Professional | $5.62 | $7.24 | $7.94 | |
Kaiser Permanente
| Professional | $4.37 | $5.25 | $6.61 | |
United
| Professional | $2.63 | $5.25 | $6.61 | |
University Health Alliance
| Professional | $4.79 | $5.89 | $8.32 |